Individual provider Active NPI

Tracy D Seefried, FNP

  • Family Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1306499207
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177893 Issued in VA
Practice address
2054 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone
(540) 217-5333
NPI assigned
Jul 19, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177893 VA Primary

Addresses

Primary practice location

2054 Pro Pointe LN
Harrisonburg, VA 22801-8021

Mailing address

2054 Pro Pointe LN
Harrisonburg, VA 22801-8021

Other identifiers 1

IdentifierTypeStateIssuer
0024177893OtherVASTATE LICENSURE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Harrisonburg
Other URL Harrisonburg

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201015003177 VA Practitioner - Nurse Practitioner 8820418601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177893VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Ridge Pediatrics PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1306499207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-217-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEFRIED",
        "first_name": "TRACY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "0024177893",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Harrisonburg",
            "affiliation": "N",
            "address_1": "2054 Pro Pointe Ln",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228018021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Harrisonburg",
            "affiliation": "N",
            "address_1": "2054 Pro Pointe Ln",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228018021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.