Individual provider Active NPI

Tracy Lee Burns, CNM

  • Advanced Practice Midwife
  • Goodyear, AZ
National Provider Identifier
1417465865
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP10912 Issued in AZ
Practice address
1170 N Estrella Pkwy Ste A107
Goodyear, AZ 85338-9276
Phone
(623) 846-7558
Fax
(623) 846-1674
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP10912 AZ Primary

Addresses

Primary practice location

1170 N Estrella Pkwy Ste A107
Goodyear, AZ 85338-9276

Mailing address

4842 N Barranco Dr
Litchfield Park, AZ 85340-2738
Phone (623) 388-4783

Other practice location 1

9930 W Indian School Rd
Phoenix, AZ 85037-5902
Phone (623) 846-7558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Advanced Practice Midwife Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Premier OBGYN LLC PastSince Aug 4, 2024 Accepting new patients
Arizona OB/GYN Affiliates PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tracy.burns.1@27328.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417465865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 N BARRANCO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402738",
            "telephone_number": "623-388-4783",
            "fax_number": "623-388-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N ESTRELLA PKWY STE A107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389276",
            "telephone_number": "623-846-7558",
            "fax_number": "623-846-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375902",
            "country_code": "US",
            "telephone_number": "623-846-7558",
            "fax_number": "623-846-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP10912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.