Active NPI
Tracy Austin Dempsey
- Family Nurse Practitioner
- Sebastopol, CA
National Provider Identifier
1285017459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22630
- Practice address
- 2264 Green Hill Rd
Sebastopol, CA 95472-9034 - Phone
- (707) 503-0962
- NPI assigned
- Jul 6, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22630 | CA | Primary |
Addresses
Primary practice location
2264 Green Hill Rd
Sebastopol, CA 95472-9034
Mailing address
2264 Green Hill Rd
Sebastopol, CA 95472-9034
Other practice location 1
488 Wild Oak Dr
Windsor, CA 95492-8914
Phone (562) 310-4712
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1285017459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2264 GREEN HILL RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2264 GREEN HILL RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954729034",
"telephone_number": "707-503-0962"
}
],
"practiceLocations": [
{
"address_1": "488 Wild Oak Dr",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CA",
"postal_code": "954928914",
"country_code": "US",
"telephone_number": "562-310-4712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMPSEY",
"first_name": "TRACY",
"middle_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.