Individual provider Active NPI

Tracey Butay, CRNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1265941868
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134687 Issued in TX
Practice address
10906 Farm to Market 1960 Rd W
Houston, TX 77070
Phone
(281) 477-7490
NPI assigned
Sep 26, 2017
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017982 PA
Family Nurse Practitioner 363LF0000X AP134687 TX Primary

Addresses

Primary practice location

10906 Farm to Market 1960 Rd W
Houston, TX 77070

Mailing address

10906 Farm to Market 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490

Other practice location 1

1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone (717) 944-0491

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Houston Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171219000808 PA Practitioner - Nurse Practitioner 9032477112 Reassigns benefits to 1 organization
I20210706000819 TX Practitioner - Nurse Practitioner 9032477112 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017982PAMDFamily Nurse Practitioner
AP134687TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 6, 2021 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 11, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 28, 2017 Accepting new patients
Ut Physicians CurrentSince Aug 6, 2021 Accepting new patients
Villagehealth DM LLC CurrentSince May 1, 2023 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 28, 2017 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1025 W Harrisburg Pike
Middletown, PA 17057
Phone (717) 702-1135

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1382 Lomaland Dr
Ste B
El Paso, TX 79935
Phone (720) 631-2400

10906 FM 1960 Rd W
Houston, TX 77070
Phone (281) 477-7490

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1265941868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 FARM TO MARKET 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-477-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10906 FARM TO MARKET 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-477-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170574848",
            "country_code": "US",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTAY",
        "first_name": "TRACEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Houston",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Houston",
            "address_1": "10906 Farm to Market 1960 Rd W",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.