Tracey D Clay, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

786261 Issued in TX

Practice address

3430 Lakeview Pkwy
Rowlett, TX 75088-3367

Phone

(972) 515-8700

Fax

(469) 728-7352

NPI assigned

Feb 22, 2006

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tracey D Dorsey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Senior Psychcare of Dallas, LLC

  • Specialist
  • Houston, TX
  • NPI 1437331659
  NPD (past)
• Integrated Medical Services PLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1770596306
  NPD (past)
• Planas and Associates,MD,PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1063443471
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1407821549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750883367",
            "telephone_number": "972-475-2597",
            "fax_number": "469-728-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750883367",
            "telephone_number": "972-515-8700",
            "fax_number": "469-728-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "TRACEY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164004",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1161262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "786261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010159792",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "DORSEY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Rowlett (Rowlett Fire Rescue)
• Brianna Claiborne
• Clair Physical Therapy Limited Partnership (Clair Physical Therapy of Rowlett)
• Erin Clare
• Michael Clark
• Clear Tab Dentistry PC (Lakeview Dentistry)
• Krystle Lynn Coates
• Cole Creative & Medical Arts, PLLC (Cole Medical)
• Heidi Jo Cole, PA-C
• Sadie Cole

• Family Nurse Practitioner in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.