Individual provider Active NPI

Tracey A. Nash I, R. N.

  • Registered Nurse
  • Norwalk, CT
National Provider Identifier
1003142662
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
486559-1 Issued in NY
Practice address
178 Flax Hill Rd Apt B204
Norwalk, CT 06854-2877
Phone
(914) 439-4474
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Registered Nurse 163W00000X 486559-1 NY Primary

Addresses

Primary practice location

178 Flax Hill Rd Apt B204
Norwalk, CT 06854-2877

Mailing address

PO Box 3323
Mount Vernon, NY 10553-3323
Phone (914) 439-4474

Other names 1

  • Ms. Tracey A Nash I Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
486559-1NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1003142662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3323",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105533323",
            "telephone_number": "914-439-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 FLAX HILL RD APT B204",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542877",
            "telephone_number": "914-439-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "TRACEY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "R. N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "486559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "NASH",
            "middle_name": "A",
            "prefix": "MS.",
            "suffix": "I",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.