Randall Scott Tracy, NP-C MSN CNOR RNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP135853 Issued in TX

Practice address

1800 Park Place Ave
Fort Worth, TX 76110-1302

Phone

(682) 703-5600

NPI assigned

Mar 2, 2018

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1114429495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 RIVERBED DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363543",
            "telephone_number": "682-812-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101302",
            "telephone_number": "682-703-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "credential": "NP-C MSN CNOR RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anne Trabon, PA
• Tracc, PA
• Tracy Kirk DDS, PLLC
• Tracy R. Morales, DDS PLLC
• John Timothy Tracy, M.D.
• Traditions Hospice of Bedford, LLC
• Jason Lyle Trahan, PHARM.D.
• Lance L Trahern, M.D.
• Jordan Lindsey Trainor, DC
• Benjamin Lewis Trammell III, DO

• Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.