Tracy Jean Guthrie, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018013899 Issued in MO

Practice address

2303 S Highway 65 Ste a
Marshall, MO 65340

Phone

(660) 886-3364

NPI assigned

Apr 25, 2018

Last updated

May 22, 2018By the provider in NPPES

Sex

Female

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

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

United Community Services IncGroup PAC ID 1254599731, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• United Community Services, Inc.

  • Point of Service
  • West Des Moines, IA
  • NPI 1609998137
  Medicare reassignment Care Compare group NPD
• Northeast Iowa Mental Health Center

  dba Northeast Iowa Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decorah, IA
  • NPI 1710933445
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1316435225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015937",
            "telephone_number": "660-287-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S HIGHWAY 65 STE A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "65340",
            "telephone_number": "660-886-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "TRACY",
        "middle_name": "JEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018013899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Goehman, MS CCC SLP
• Golden Oaks Assisted Living I LLC
• Golden Oaks, LLC
• Ann Marie Gray, M.D.
• Shelby Lee Gregory, DDS
• Brenda Gutierrez, NP
• Rashid Said Hamid, MD
• Michelle Harlin, PT
• Rex E Harmon, PT
• Bethany Anne Harris, MSW, LCSW

• Family Nurse Practitioner in Marshall, MO
• Providers in Marshall, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.