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Export Provider Record NPI 1073044905
Shanna Ariane TuckerM.D.
Active
NPI Number1073044905
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1073044905
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-03-22
Last Updated2026-02-03
Mailing Address215 E 85th St
New York, NY 10028-3108
United States
Phone: (646) 962-7300 | Fax: (646) 962-0409
📍 View Map
Primary Practice Address215 E 85th St
New York, NY 10028-3108
United States
Phone: (646) 962-7300 | Fax: (646) 962-0409
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineNY303542
Export Provider Record NPI 1073044905
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About NPI 1073044905

Shanna Ariane Tucker M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073044905. The primary specialty listed is Internal Medicine. The provider is located in New York, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-03-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073044905?

NPI 1073044905 belongs to Shanna Ariane Tucker M.D., a Internal Medicine in New York, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073044905 active?

The current status of NPI 1073044905 in the NPPES registry is Active. The record was last updated on 2026-02-03.

What specialty is NPI 1073044905?

NPI 1073044905 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073044905?

You can verify NPI 1073044905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073044905?

The primary practice address on file for NPI 1073044905 is 215 E 85th St, New York, NY 10028-3108. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073044905 issued?

NPI 1073044905 was first issued (enumerated) on 2017-03-22. The NPPES record was last updated on 2026-02-03.

Practice Location Map

Shanna Ariane Tucker is located at 215 E 85th St, New York, NY. Use the map below to find directions or verify the practice location.

📍 215 E 85th St, New York, NY 10028-3108  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Shanna Ariane Tucker. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073044905. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine303542NY
Data Verified from CMS NPPES Last synced: 2026-08-03 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162