Active NPI
Tracy Mahaney
- Family Nurse Practitioner
- Florence, KY
National Provider Identifier
1417401423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.019343
- Practice address
- 7370 Turfway Rd Ste 280
Florence, KY 41042-4896 - Phone
- (859) 212-4567
- Fax
- (859) 212-4768
- NPI assigned
- Aug 8, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010403 | KY | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019343 | OH | Primary |
Addresses
Primary practice location
7370 Turfway Rd Ste 280
Florence, KY 41042-4896
Mailing address
7370 Turfway Rd Ste 280
Florence, KY 41042-4896
Phone (859) 212-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
424 Church St
Nashville, TN 37219-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010403 | KY | MD | Family Nurse Practitioner |
| APRN.CNP.019343 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients | |
| Helen Holtman, M.D. and Associates Inc. | Past | Accepting new patients | |
| Paul J Janson MD PSC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
Interoperability endpoints
- tracy.mahaney.1@14940.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
OH
-
- Pediatric Adolescent Medicine Physician
- Florence, KY
- NPI 1760657738
-
- Psychiatry Physician
- Hamilton, OH
- NPI 1750506556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417401423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7370 TURFWAY RD STE 280",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424896",
"telephone_number": "859-212-4567",
"fax_number": "859-212-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 TURFWAY RD STE 280",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424896",
"telephone_number": "859-212-4567",
"fax_number": "859-212-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANEY",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3010403",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.019343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.