Active NPI
Tracy Tabacchi, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Carmel, IN
National Provider Identifier
1255566675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 28164209A
- Practice address
- 697 Pro-Med LN
Carmel, IN 46032-5323 - Phone
- (317) 587-0500
- Fax
- (317) 574-1234
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 28164209A | IN | Primary |
Addresses
Primary practice location
697 Pro-Med LN
Carmel, IN 46032-5323
Mailing address
697 Pro-Med LN
Carmel, IN 46032-5323
Phone (317) 587-0567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100073590 | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28164209A | IN | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1255566675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 PRO-MED LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325323",
"telephone_number": "317-587-0567",
"fax_number": "317-574-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 PRO-MED LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325323",
"telephone_number": "317-587-0500",
"fax_number": "317-574-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABACCHI",
"first_name": "TRACY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "IN",
"license": "28164209A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100073590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.