Individual provider Active NPI

Tracy Lynn Nun, RN

  • Registered Nurse
  • Fort Collins, CO
National Provider Identifier
1376351528
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
691849 Issued in CO
Practice address
2451 S Timberline Rd Apt 4-104
Fort Collins, CO 80525-4148
Phone
(774) 301-9182
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 691849 CO Primary

Addresses

Primary practice location

2451 S Timberline Rd Apt 4-104
Fort Collins, CO 80525-4148

Mailing address

2451 S Timberline Rd Apt 4-104
Fort Collins, CO 80525-4148
Phone (774) 301-9182

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
691849COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1376351528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S TIMBERLINE RD APT 4-104",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254148",
            "telephone_number": "774-301-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S TIMBERLINE RD APT 4-104",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254148",
            "telephone_number": "774-301-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "691849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.