Individual provider Active NPI

Tracy L Morgan, RN

  • Registered Nurse
  • Brookfield, WI
National Provider Identifier
1316552292
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
120587-30 Issued in WI
Practice address
19115 W Capitol Dr
Suite 117
Brookfield, WI 53045-2754
Phone
(262) 781-0240
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 120587-30 WI Primary

Addresses

Primary practice location

19115 W Capitol Dr
Suite 117
Brookfield, WI 53045-2754

Mailing address

19115 W Capitol Dr Ste 117
Brookfield, WI 53045-2754
Phone (262) 781-0240

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
120587-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Corner, LLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

19115 W Capitol Dr
Ste 117
Brookfield, WI 53045
Phone (262) 751-7855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1316552292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 W CAPITOL DR STE 117",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452754",
            "telephone_number": "262-781-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 W CAPITOL DR",
            "address_2": "SUITE 117",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452754",
            "telephone_number": "262-781-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "120587-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.