KIMBERLY JAN TUCKER (M.ED., CCC-SLP) – Speech-Language Pathologist, NPI 1336131994

Speech-Language Pathologist

KIMBERLY JAN TUCKER (M.ED., CCC-SLP) is a healthcare provider. based in Dacula, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials M.ED., CCC-SLP. They hold a License No. PCET001021 (GA). The NPI Number for KIMBERLY JAN TUCKER (M.ED., CCC-SLP) is 1336131994

Main info

Female

Name

KIMBERLY JAN TUCKER (M.ED., CCC-SLP)

NPI

1336131994

Phone

(678) 377-9634

Address

3615 BRASELTON HWY

Enumeration Date

19 August 2005

Last Update Date

6 May 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience68

Completeness75

Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for KIMBERLY JAN TUCKER (M.ED., CCC-SLP)

3615 BRASELTON HWY
SUITE 103
DACULA, GA 300195907
Phone: (678) 377-9634
Fax: (678) 377-9609
Type: Mailing
10100 GROOMSBRIDGE RD
JOHNS CREEK, GA 300222673
Phone: (770) 880-7684
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30019)

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Reviews

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Frequently asked questions

What is the registry number for KIMBERLY JAN TUCKER (M.ED., CCC-SLP)?

The registry entry for KIMBERLY JAN TUCKER (M.ED., CCC-SLP) shows NPI 1336131994.

Quick check: is KIMBERLY JAN TUCKER (M.ED., CCC-SLP) active?

Public NPPES data shows KIMBERLY JAN TUCKER (M.ED., CCC-SLP) with an active NPI status right now.

Which specialty label fits KIMBERLY JAN TUCKER (M.ED., CCC-SLP)?

NPPES ties KIMBERLY JAN TUCKER (M.ED., CCC-SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to KIMBERLY JAN TUCKER (M.ED., CCC-SLP)?

KIMBERLY JAN TUCKER (M.ED., CCC-SLP) shows a connection to Dacula, Georgia in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.