Andrea Renee Tracy, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200930590LPN Issued in OR

Practice address

11708 E Rivercrest Dr
Spokane Valley, WA 99206-6171

Phone

(541) 390-9905

NPI assigned

Jan 23, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1336410307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 E RIVERCREST DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066171",
            "telephone_number": "541-390-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 E RIVERCREST DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066171",
            "telephone_number": "541-390-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200930590LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Kay Torget, LPN
• Total Balance Wellness, LLC
• Landon Toth, LMHC
• Mirna Nabil Toukatly, MD
• Rayanne Jaunita Towles
• Jeannie Tran, O.D.
• Valerie Tran
• Transformation Pathways Counseling PLLC
• Michael Allan Trantow, D.D.S.
• Stephanie Gayle Trapp, CDP

• Licensed Practical Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.