Active NPI
Tracy M Dargan, RN
- School Registered Nurse
- North Tonawanda, NY
National Provider Identifier
1396029260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 413446
- Practice address
- 789 Gilmore Avenue
North Tonawanda, NY 14220 - Phone
- (716) 807-3752
- Fax
- (716) 807-3751
- NPI assigned
- Oct 10, 2011
- Last updated
- Oct 10, 2011
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 413446 | NY | Primary |
Addresses
Primary practice location
789 Gilmore Avenue
North Tonawanda, NY 14220
Mailing address
97 Catherine Street
Williamsville, NY 14221
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 |
|---|---|---|---|
| 413446 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1396029260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 CATHERINE STREET",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 GILMORE AVENUE",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-807-3752",
"fax_number": "716-807-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARGAN",
"first_name": "TRACY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "413446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.