DR. JENNIFER WHITLEY TUCKER MD
NPI 1972362127
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 18, 2024PECOS Enrolled
801 MASSACHUSETTS AVE STE 470, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jennifer Whitley Tucker Md NPPES

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

DR. JENNIFER WHITLEY TUCKER MD (NPI 1972362127) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972362127
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JENNIFER WHITLEY TUCKERCredential: MD
Location Address801 MASSACHUSETTS AVE STE 470Boston, MA 02118-2605
Mailing Address801 Massachusetts Ave Ste 470Boston, MA 02118-2605 · (617) 638-8000
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
NPI 1972362127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

801 MASSACHUSETTS AVE STE 470, Boston, MA 02118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer Whitley Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
801 MASSACHUSETTS AVE STE 470
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE STE 470, C/O ERIN OREILLY
BOSTON, MA 02118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972362127, enumerated as an "individual" on March 18, 2024.

The provider is located at 801 MASSACHUSETTS AVE STE 470 BOSTON, MA 02118 and the phone number is (617) 638-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.