Active NPI
Tracey Cranston, NP
- Psychiatric/Mental Health Nurse Practitioner
- Ithaca, NY
National Provider Identifier
1396034864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 40-401600
- Practice address
- 201 East Green Street
Tompkins County Mental Health Services
Ithaca, NY 14850 - Phone
- (607) 274-6200
- Fax
- (607) 274-6316
- NPI assigned
- Apr 5, 2011
- Last updated
- Jul 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 40-401600 | NY | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 605876 | NY |
Addresses
Primary practice location
201 East Green Street
Tompkins County Mental Health Services
Ithaca, NY 14850
Mailing address
201 East Green Street
Tompkins County Mental Health Services
Ithaca, NY 14850
Phone (607) 274-6200
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40-401600 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student Health Clinic/Center
- Ithaca, NY
- NPI 1073584926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1396034864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST GREEN STREET",
"address_2": "TOMPKINS COUNTY MENTAL HEALTH SERVICES",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-274-6200",
"fax_number": "607-274-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EAST GREEN STREET",
"address_2": "TOMPKINS COUNTY MENTAL HEALTH SERVICES",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-274-6200",
"fax_number": "607-274-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANSTON",
"first_name": "TRACEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "40-401600",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "605876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.