Active NPI
Tracy S Fleischman, NP
- Nutrition Education Nutritionist
- North Tonawanda, NY
National Provider Identifier
1083340210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 309511
- Practice address
- 3376 Niagara Falls Blvd
North Tonawanda, NY 14120-1396 - Phone
- (716) 264-4248
- NPI assigned
- Jul 29, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 309511 | NY | Primary |
| Nurse Practitioner | 363L00000X | 309511 | NY |
Addresses
Primary practice location
3376 Niagara Falls Blvd
North Tonawanda, NY 14120-1396
Mailing address
3275 Evergreen Dr
North Tonawanda, NY 14120-1501
Phone (716) 930-0325
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309511 | NY | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1083340210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3275 EVERGREEN DR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201501",
"telephone_number": "716-930-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3376 NIAGARA FALLS BLVD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201396",
"telephone_number": "716-264-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHMAN",
"first_name": "TRACY",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "309511",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "309511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.