John Tracy III, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

245600 Issued in NC

Practice address

1139 S Main St
Galax, VA 24333-4409

Phone

(276) 601-2846

NPI assigned

Mar 14, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Virginia Kares Home Care Services LLC

  • Home Health Agency
  • Galax, VA
  • NPI 1831602499
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1265935456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 S MAIN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243334409",
            "telephone_number": "276-601-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 S MAIN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243334409",
            "telephone_number": "276-601-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "245600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W. Littrell DDS PC
• Dustin Neil Thomas, PHARMD, RPH
• Michael D Thompson, MD
• Todd Chiropractic, P.C.
• Sherry Tompkins
• Tri Area Community Health (Tri Area Community Health at Galax)
• Dorothy J. Truax
• Sherry McKenzie Truitt, LPTA
• Twin County Counseling Services, LLC
• Twin County Family Care Centers Inc

• Administrator Registered Nurse in Galax, VA
• Providers in Galax, VA by specialty
• Administrator Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.