Active NPI
Tracy Streibick Flynn, FNP, NP-C
- Nurse Practitioner
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP1569-A
- Practice address
- 1203 Idaho St
Lewiston, ID 83501-1940 - Phone
- (208) 848-8300
- NPI assigned
- Oct 6, 2015
- Last updated
- Nov 6, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1569-A | ID | Primary |
Addresses
Primary practice location
1203 Idaho St
Lewiston, ID 83501-1940
Mailing address
217 N Polk St
Moscow, ID 83843-2744
Phone (208) 413-8205
Other practice location 1
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1370 Bridge St
Clarkston, WA 99403-2332
Phone (509) 758-2568
1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1569-A | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| PPM Washington LLC | Current | Accepting new patients | |
| Finding Home Healthcare, Inc. | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Finding Home Healthcare, Inc. | Current | Accepting new patients | |
| St. Joseph Hospital LLC | Past | Accepting new patients |
Locations
1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 207-2726
1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300
803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300
1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221
1370 Bridge St
Clarkston, WA 99403
Phone (509) 758-2568
611 N Iron Bridge Way
Spokane, WA 99202
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Finding Home Medical Services
- Multi-Specialty Clinic/Center
- Eagle, ID
- NPI 1609327022
-
- Multi-Specialty Clinic/Center
- Clarkston, WA
- NPI 1568119204
-
dba Lewis and Clark Health Center
- Federally Qualified Health Center (FQHC)
- Lewiston, ID
- NPI 1235372707
-
dba Latah Community Health
- Federally Qualified Health Center (FQHC)
- Moscow, ID
- NPI 1285077230
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
dba Finding Home Medical Services
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1851826192
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elite Home Health and Hospice
- Home Health Agency
- Lewiston, ID
- NPI 1134899719
-
dba Elite Home Health and Hospice
- Home Health Agency
- Clarkston, WA
- NPI 1255672895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1073983748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N POLK ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432744",
"telephone_number": "208-413-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 IDAHO ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011940",
"telephone_number": "208-848-8300"
}
],
"practiceLocations": [
{
"address_1": "611 N Iron Bridge Way",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992024932",
"country_code": "US",
"telephone_number": "509-444-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "TRACY",
"middle_name": "STREIBICK",
"credential": "FNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP1569-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.