Tracy Marx-Renner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5203286 Issued in FL

Practice address

17921 Hunting Bow Cir Ste 101
Lutz, FL 33558-5379

Phone

(727) 372-7371

Fax

(727) 372-4985

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunshine Primary Care LLC

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1861734824
  NPD (past)

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1104335355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9148 DEMARET CT",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554617",
            "telephone_number": "727-277-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17921 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585379",
            "telephone_number": "727-372-7371",
            "fax_number": "727-372-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX-RENNER",
        "first_name": "TRACY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5203286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenier Martinez Gonzalez
• Arlene M Martinez-Delio, M.D.
• Brigitte Marie Martinez, APRN, FNP-C
• Pamela Mae Martinez, MD
• Martis Legacy Holdings Inc.
• Shivika Sunil Maskara
• Camilla Mason
• Massage by Joyce, LLC
• Massage Point, LLC
• Laura Massey, MS, CCC-SLP

• Licensed Practical Nurse in Lutz, FL
• Providers in Lutz, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.