Individual provider Active NPI

Tracy Hester

  • Licensed Practical Nurse
  • Indianapolis, IN
National Provider Identifier
1184741779
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27031913A Issued in IN
Practice address
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Phone
(317) 466-1000
Fax
(317) 466-2000
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27031913A IN Primary

Addresses

Primary practice location

4740 Kingsway Dr
Indianapolis, IN 46205-1521

Mailing address

23 S Sheridan Ave
Indianapolis, IN 46219-6608
Phone (317) 466-1000

Other names 1

  • Tracy Wright Other name

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

State licenses

LicenseStateTypeSpecialty
27031913AINMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1184741779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S SHERIDAN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196608",
            "telephone_number": "317-466-1000",
            "fax_number": "317-466-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 KINGSWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051521",
            "telephone_number": "317-466-1000",
            "fax_number": "317-466-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27031913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WRIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.