Tracy Roberts O'Neil, DNP, C-PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

74607 Issued in NC

Practice address

155 Memorial Dr
Pinehurst, NC 28374-8710

Phone

(910) 715-2164

Fax

(910) 715-1247

NPI assigned

Dec 5, 2006

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

Other names 1

• Ms. Tracy Roberts O'Neil Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1235297987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283743000",
            "telephone_number": "910-715-2164",
            "fax_number": "910-715-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-2164",
            "fax_number": "910-715-1247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Lane",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282333549",
            "country_code": "US",
            "telephone_number": "704-384-4156",
            "fax_number": "704-384-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "TRACY",
        "middle_name": "ROBERTS",
        "name_prefix": "Ms.",
        "credential": "DNP, C-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "74607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "O'NEIL",
            "middle_name": "ROBERTS",
            "prefix": "MS.",
            "credential": "DNP, CPNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ellen Nordick
• Bobbie E Norris, NP
• Lisa Collins Norris
• Northland Hearing Center, Inc. (Audibel)
• Benjamin B Norton, MD, MPH&TM
• Amy C O'Reilly, PT
• Matthew O'Reilly, C.O.F.
• Patrick O'Reilly, CPO
• Ward S Oakley, M.D.
• Rebecca Odell

• Pediatric Nurse Practitioner in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.