Tracey Altidor, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9226295 Issued in FL

Practice address

8260 NE 2ND Ave
8260 N.E 2ND Avenue
Miami, FL 33138-3808

Phone

(305) 757-9555

NPI assigned

Apr 23, 2011

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  FL

  Medicare reassignment

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1225329337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 NE 2ND AVE",
            "address_2": "8260 N.E 2ND AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383808",
            "telephone_number": "305-757-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 NE 2ND AVE",
            "address_2": "8260 N.E 2ND AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331383808",
            "telephone_number": "305-757-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIDOR",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-23",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9226295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrie Beth Althage, MSN, APRN, FNP-C
• Althiva Medical Office
• Abdulrahman Fahad Althukair, M.D.
• Marie Michelle Altidor Mesidor, FNP-C
• Marie Ermanise Altidor, RRT
• Christopher Altieri, DPT
• Altima Dental Group of West Kendall, LLC
• Altius Management Services LLC
• Altius Medical Center LLC
• Altiv Group Inc

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.