Tracey Michele Yune, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN101763 Issued in GA

Practice address

1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258

Phone

(770) 393-9000

Fax

(770) 393-9006

NPI assigned

Jul 7, 2021

Last updated

Mar 13, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aesthetic Specialty Centre, PC

  dba Aesthetic Specialty Centre

  • Specialist
  • Roswell, GA
  • NPI 1770520587
  NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1235700675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 OLD ALABAMA RD STE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762258",
            "telephone_number": "770-393-9000",
            "fax_number": "770-393-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 OLD ALABAMA RD STE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762258",
            "telephone_number": "770-393-9000",
            "fax_number": "770-393-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNE",
        "first_name": "TRACEY",
        "middle_name": "MICHELE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN101763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@asc-psd.com",
            "affiliation": "N",
            "address_1": "1825 Old Alabama Rd Ste 201",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300762258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keith Young, RBT
• Kimberly Hundgen Young, WHNP
• Robert A Young, PA-C
• Alyssa Yount, M.ED., CCC-SLP
• Marc Ean Yune, MD
• Heather Zacka, MOT, OTR/L
• Maurice Ebrahim Zadeh, O.D.
• Casie May Zahirsky, CRNA
• Hatice Sahin Zahran, M.D.
• Ashish Zinabhai Zalawadia, M.D.

• Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.