Individual
REBECCA SUZANNA KING-TUCKER
Active
Individual
REBECCA SUZANNA KING-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01077239A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
3081324
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011003081
MEDICARE PTAN
—
01
—
171576
OREGON MEDICAL LICENSE
OR
05
—
500628245
—
OR
Enumeration date
04/10/2007
Last updated
07/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up