Jenny Tracy, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

041507119 Issued in IL

Practice address

5700 S Maryland Ave
Chicago, IL 60637-1426

Phone

(512) 825-2098

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenny Wheatley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1073295176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N DAMEN AVE APT 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228968",
            "telephone_number": "512-825-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371426",
            "telephone_number": "512-825-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JENNY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041507119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "WHEATLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci D Coney, LLC
• Traci Patterson LCPC Cadc PLLC
• Tracy Heskett Therapy
• Tracy Mayes Psychotherapy PC
• Anne Elizabeth Tracy, CRNA
• Katherine A. Tracy
• Melissa Joy Tracy, MD
• Leonard A Tragas
• Shira Trager, M.D
• Christina Tragos

• Critical Care Medicine Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Critical Care Medicine Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.