Active NPI
Tracy A. Harach, APN
- Neonatal Nurse Practitioner
- Lewes, DE
National Provider Identifier
1013092113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- LM0000148
- Practice address
- Beebe Medical Center Margaret H. Rollins Campus
424 Savannah Road
Lewes, DE 19958-1675 - Phone
- (302) 645-3300
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | SP007990 | PA | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP007990 | PA | |
| Nurse Practitioner | 363L00000X | SP007990 | PA | |
| Neonatal Nurse Practitioner | 363LN0000X | LM0000148 | DE | Primary |
Addresses
Primary practice location
Beebe Medical Center Margaret H. Rollins Campus
424 Savannah Road
Lewes, DE 19958-1675
Mailing address
1515 Savannah Road
Beebe Medical Group
Lewes, DE 19958-1169
Phone (302) 645-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36820 | Medicaid | NJ | |
| 4057457 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007990 | PA | MD | Nurse Practitioner |
| LM0000148 | DE | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Neonatal | Current | Accepting new patients |
| State of Delaware-Stockley | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
1515 Savannah Rd
Lewes, DE 19958
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
Interoperability endpoints
- tharach22449@beebehealth.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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-
- Pediatrics Physician
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- NPI 1255363578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1013092113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SAVANNAH ROAD",
"address_2": "BEEBE MEDICAL GROUP",
"city": "LEWES",
"state": "DE",
"postal_code": "199581169",
"telephone_number": "302-645-3300",
"fax_number": "302-644-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEEBE MEDICAL CENTER MARGARET H. ROLLINS CAMPUS",
"address_2": "424 SAVANNAH ROAD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581675",
"telephone_number": "302-645-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARACH",
"first_name": "TRACY",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2024-05-21",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "PA",
"license": "SP007990",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP007990",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP007990",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "DE",
"license": "LM0000148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36820",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4057457",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.