Tracy Underwood, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45465 Issued in WV

Practice address

1343 N Preston Hwy
Kingwood, WV 26537-7688

Phone

(304) 441-2001

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By 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

Medicare fee-for-service enrollment

Enrolled in WV, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solace Family HealthcareGroup PAC ID 8123424348, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Western Maryland Home health agency, Cumberland, MD, CCN 217031
• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solace Family Healthcare

  • Family Medicine Physician
  • Cumberland, MD
  • NPI 1902579477
  Medicare reassignment Care Compare group NPD Authorized official
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Western Maryland Corporation

  dba Upmc Western Maryland Center for Hope and Healing

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247
  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Home Health Agency
  • Cumberland, MD
  • NPI 1821055393
  Care Compare affiliation

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1174929004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377688",
            "telephone_number": "304-441-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377688",
            "telephone_number": "304-441-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "TRACY",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "45465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Family Care, LLC
• Angela Dawn Travis
• Tri-R Physical Therapy LLC
• Rosalita Tribett
• Angela Marie Turner, D.D.S.
• Jody N Varda, DPT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4372)
• Walgreen Co (Walgreens #19666)
• Walgreen Co. (Walgreens #19666)
• Carolyn S Walters, BSN,RN

• Family Nurse Practitioner in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.