Tracie Diane Lavinsky

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-127652 Issued in AL

Practice address

13025 Alla Dr
Coker, AL 35452-3780

Phone

(205) 393-1054

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Associates of Tuscaloosa, PCGroup PAC ID 6800813957, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Internal Medicine Associates of Tuscaloosa, PC

  • Internal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1225146004
  Medicare reassignment Care Compare group NPD
• Internal Medicine Associates of Tuscaloosa, P.C.

  dba Novus TMS Imat

  • Neurology Physician
  • Tuscaloosa, AL
  • NPI 1598414880
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1437765872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 ALLA DR",
            "city": "COKER",
            "state": "AL",
            "postal_code": "354523780",
            "telephone_number": "205-393-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 ALLA DR",
            "city": "COKER",
            "state": "AL",
            "postal_code": "354523780",
            "telephone_number": "205-393-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINSKY",
        "first_name": "TRACIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-127652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haleigh Banks, M.S., CCC-SLP
• Brittany J Falls, LICSW
• Mandi Fowler, LICSW
• Lauren Pearson
• Sinclair Clinic of Chiropractic, Inc (Alabama Sports Chiropractic)

• Primary Care Nurse Practitioner in Coker, AL
• Providers in Coker, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.

Verify at the official NPI Registry.