Tracy Lynn Meredith, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2009014165 Issued in MO

Practice address

1020 Rogers LN
Florissant, MO 63033-5918

Phone

(314) 395-6524

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

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

Other names 1

• Ms. Tracy Lynn Osborne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1144457300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ROGERS LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335918",
            "telephone_number": "314-395-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ROGERS LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335918",
            "telephone_number": "314-395-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009014165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "OSBORNE",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Antonio Menendez, MD
• Stephanie Denise Menendez, OTR
• Menm, LLC (Miracle-Ear)
• Edita B Mercado, NP
• Mercy Pharmacy Services LLC (Mercy Pharmacy Florissant)
• Carol Flewellen Merritt, O.D.
• Metro Cardiovascular, Inc. (Metro Health Center)
• Metro Dialysis Center - North, Inc. (Metro North Dialysis Center)
• Metro Medical North County LLC
• Metro Medical Urgent Care

• Registered Nurse in Florissant, MO
• Providers in Florissant, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.