Active NPI
Tracy M Abrams, R.N.
- Registered Nurse
- San Marcos, CA
National Provider Identifier
1073991261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 606252
- Practice address
- 400 Craven Rd
Surgery Center, Building 4
San Marcos, CA 92078-4201 - Phone
- (760) 510-5486
- NPI assigned
- May 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 606252 | CA | Primary |
Addresses
Primary practice location
400 Craven Rd
Surgery Center, Building 4
San Marcos, CA 92078-4201
Mailing address
5730 Riverside Dr BLDG 625
752ND Medical Squadron (Afrc)
March Arb, CA 92518-1830
Phone (951) 655-5167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606252 | Other | CA | RN |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606252 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1073991261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 RIVERSIDE DR BLDG 625",
"address_2": "752ND MEDICAL SQUADRON (AFRC)",
"city": "MARCH ARB",
"state": "CA",
"postal_code": "925181830",
"telephone_number": "951-655-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CRAVEN RD",
"address_2": "SURGERY CENTER, BUILDING 4",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784201",
"telephone_number": "760-510-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "TRACY",
"middle_name": "M",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "606252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "606252",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.