Active NPI
Tracy Lee Karas, RN
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1356360523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 82443
- Practice address
- 2901 W Kinnickinnic River Pkwy
Suite 405
Milwaukee, WI 53215-3677 - Phone
- (414) 383-7744
- Fax
- (414) 383-8089
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 82443 | WI | Primary |
Addresses
Primary practice location
2901 W Kinnickinnic River Pkwy
Suite 405
Milwaukee, WI 53215-3677
Mailing address
2514 S 102ND St
Suite 120
West Allis, WI 53227-2142
Phone (414) 777-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82443 | Other | WI | RN LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82443 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Dialysis Venture LLC | Past | Accepting new patients | |
| Milwaukee Nephrologists, S.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975
Organizations & group practices 2
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.
-
- Clinic/Center
- Milwaukee, WI
- NPI 1043491194
-
- Nephrology Physician
- Milwaukee, WI
- NPI 1982763405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257552000000",
"number": "1356360523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 S 102ND ST",
"address_2": "SUITE 120",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272142",
"telephone_number": "414-777-5200",
"fax_number": "414-777-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 W KINNICKINNIC RIVER PKWY",
"address_2": "SUITE 405",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153677",
"telephone_number": "414-383-7744",
"fax_number": "414-383-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAS",
"first_name": "TRACY",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "82443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "82443",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.