Active NPI
Stephanie Sue Tracey, APRN
- Advanced Practice Midwife
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11006336
- Practice address
- 106 Myrtle Ridge Rd
Lutz, FL 33549-5632 - Phone
- (813) 949-1185
- NPI assigned
- Feb 28, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APRN1106336 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN11006336 | FL | Primary |
Addresses
Primary practice location
106 Myrtle Ridge Rd
Lutz, FL 33549-5632
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1106336 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients |
Locations
8340 Lakewood Ranch Blvd
Ste 140
Lakewood Ranch, FL 34202
Phone (941) 782-2800
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
625 6th Ave S
Ste 350
St Petersburg, FL 33701
Phone (727) 456-0080
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1043844087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MYRTLE RIDGE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495632",
"telephone_number": "813-949-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACEY",
"first_name": "STEPHANIE",
"middle_name": "SUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "APRN1106336",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11006336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.