Individual provider Active NPI

Tracy Spitzer, RN

  • Critical Care Medicine Registered Nurse
  • Indianapolis, IN
National Provider Identifier
1225336365
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
28122470A Issued in IN
Practice address
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone
(317) 962-2785
NPI assigned
Mar 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 28122470A IN Primary

Addresses

Primary practice location

1701 N Senate Ave
Indianapolis, IN 46202-5306

Mailing address

604 Leah Way
Greenwood, IN 46142-1990
Phone (317) 828-2641

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28122470AINMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299974400000",
    "number": "1225336365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LEAH WAY",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421990",
            "telephone_number": "317-828-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025306",
            "telephone_number": "317-962-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-13",
        "last_updated": "2011-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28122470A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2011; 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.