Individual provider Active NPI

Tracy Tinker, MSN, RN, CDE

  • Diabetes Educator Registered Nurse
  • Manchester, NH
National Provider Identifier
1013365774
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
061412-21 Issued in NH
Practice address
199 Manchester St
Manchester, NH 03103-5232
Phone
(603) 663-8718
Fax
(603) 314-4554
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 061412-21 NH Primary

Addresses

Primary practice location

199 Manchester St
Manchester, NH 03103-5232

Mailing address

195 McGregor St
LL22
Manchester, NH 03102-3748
Phone (603) 663-8718

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
061412-21NHMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lamprey Health Care Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1013365774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR ST",
            "address_2": "LL22",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023748",
            "telephone_number": "603-663-8718",
            "fax_number": "603-314-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MANCHESTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035232",
            "telephone_number": "603-663-8718",
            "fax_number": "603-314-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKER",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NH",
            "license": "061412-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.