Organization Active NPI

Swift Creek Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1003381138
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SWIFT CREEK MENTAL HEALTH SERVICES
Practice address
1100 NW Maynard Rd Ste 140
Cary, NC 27513-8707
Phone
(919) 424-0062
Fax
(919) 704-3674
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Dr. Amy K Tracy, DNP PMHNP-BCNPI 1679941322
Title
Owner
Phone
(919) 424-0062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1100 NW Maynard Rd Ste 140
Cary, NC 27513-8707

Mailing address

106 Quarterpath
Cary, NC 27518-9791
Phone (919) 862-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911000441 NC Part B Supplier - Clinic/Group Practice 7214355072 Receives reassigned benefits from 4 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

800 W Williams St
Ste 231P
Apex, NC 27502
Phone (919) 795-6942

523 Keisler Dr
Ste 202
Cary, NC 27518
Phone (919) 424-0062

10027 US 70 Hwy W
Clayton, NC 27520
Phone (919) 424-0062

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1003381138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 QUARTERPATH",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189791",
            "telephone_number": "919-862-7101",
            "fax_number": "919-704-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD STE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138707",
            "telephone_number": "919-424-0062",
            "fax_number": "919-704-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT CREEK MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-424-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.