Individual provider Active NPI

Tracy Christine Turner, APRN

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1194449009
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021959 Issued in FL
Practice address
4106 W Lake Mary Blvd Ste 324
Lake Mary, FL 32746-3344
Phone
(407) 299-7333
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11021959 FL Primary

Addresses

Primary practice location

4106 W Lake Mary Blvd Ste 324
Lake Mary, FL 32746-3344

Mailing address

9149 Dollanger CT
Orlando, FL 32819-4064
Phone (407) 473-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001629 FL Practitioner - Nurse Practitioner 5395112239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Dermatology Associates P aGroup PAC ID 9436248440, 4 clinicians

Practice addresses (Care Compare)

700 E Michigan St
Orlando, FL 32806-4624
Phone (407) 481-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021959FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Dermatology Associates P a CurrentSince Aug 5, 2024 Accepting new patients
Mid-Florida Dermatology Associates P.a. CurrentSince Nov 1, 2022 Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 324
Lake Mary, FL 32746
Phone (407) 322-5522

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

700 E Michigan St
Orlando, FL 32806
Phone (407) 481-2620

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1194449009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 DOLLANGER CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194064",
            "telephone_number": "407-473-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 324",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463344",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TRACY",
        "middle_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.