Tracy Shea Poepping, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

C071400 Issued in CO

Practice address

10099 Ridge Gate Pkwy
#290
Lone Tree, CO 80124

Phone

(303) 791-2112

Fax

(303) 683-6415

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396961876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30343 INVERNESS LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-670-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGE GATE PKWY",
            "address_2": "#290",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-791-2112",
            "fax_number": "303-683-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEPPING",
        "first_name": "TRACY",
        "middle_name": "SHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CO",
            "license": "C071400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION ID #",
            "identifier": "RXN9939",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID #",
            "identifier": "71400",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Louis Piro, DO
• Amanda Kaye Pittsley, FNP
• Andrea Mackenzie Plested, FNP-C, RN
• Michelle Plimpton
• Piotr Arthur Poczwardowski, PA-C
• Krista M Pogge, RD
• Judson Ryan Poling, PSYD
• Alyssa Starr Pollman, FNP-BC
• Elizabeth Polsin
• Ponderosa Pine, LLC

• Obstetrics & Gynecology Nurse Practitioner in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Obstetrics & Gynecology Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.