VIVIEN O TUCKER MD
NPI 1821049925
Family Medicine in Fayetteville, AR

Active since May 13, 2006CLIA 04D2211170 · Waiver
13859 GREENRIDGE RD, FAYETTEVILLE, AR 72701(812) 455-8405(479) 269-4261 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Mar 2, 2020, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

About Vivien O Tucker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIEN O TUCKER MD (NPI 1821049925) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Indiana (01039200A) and active in the NPI registry since May 2006. She holds a CLIA Waiver certificate valid through January 25, 2027 and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1821049925
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVIVIEN O TUCKERCredential: MD
Location Address13859 GREENRIDGE RDFayetteville, AR 72701-0789
Mailing Address13859 Greenridge RdFayetteville, AR 72701-0789 · (812) 455-8405
Fax(479) 269-4261
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateMay 30, 20254 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1821049925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01039200A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13859 GREENRIDGE RD, Fayetteville, AR 72701

Secondary Practice Location 1

Location 110128 Brookcrest DrEvansville, IN 47711-7156 · Phone (812) 455-8405 · Fax (479) 269-4261

Other Identifiers 1

Medicaid100359550IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2211170

Vivien Tucker MD · Fayetteville, AR
Active · expires Jan 25, 2027
CLIA Number04D2211170
Laboratory TypeIndependent
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDr. Vivien Tucker
Laboratory Phone(812) 455-8405
Laboratory LocationVivien Tucker MD13859 Greenridge Drive, Fayetteville, AR 72701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivien Tucker's NPI number?

The NPI number for Vivien Tucker is 1821049925. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Vivien Tucker located?

Vivien Tucker practices at 13859 Greenridge Rd, Fayetteville, AR 72701. The listed phone number is (812) 455-8405.

What is Vivien Tucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vivien Tucker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2211170) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vivien Tucker accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Vivien Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivien Tucker was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.