Active NPI
Tracy Louise Turck, LPN
- Licensed Practical Nurse
- Dover, OH
National Provider Identifier
1376818286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN140553
- Practice address
- 920 Boulvard St
Dover, OH 44622 - Phone
- (330) 365-1874
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN140553 | OH | Primary |
Addresses
Primary practice location
920 Boulvard St
Dover, OH 44622
Mailing address
920 Boulvard St
Dover, OH 44622
Phone (330) 365-1874
Other names 1
- Mrs. Tracy Louise Johnson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN140553 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1376818286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BOULVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "44622",
"telephone_number": "330-365-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 BOULVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "44622",
"telephone_number": "330-365-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURCK",
"first_name": "TRACY",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN140553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "JOHNSON",
"middle_name": "LOUISE",
"prefix": "MRS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.