Active NPI
Tracy Ann White, CNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.10833-NP
- Practice address
- 3535 Olentangy River Rd
Columbus, OH 43214-3908 - Phone
- (614) 566-3374
- NPI assigned
- Jun 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.10833-NP | OH | Primary |
Addresses
Primary practice location
3535 Olentangy River Rd
Columbus, OH 43214-3908
Mailing address
54 Purple Finch Loop
Pataskala, OH 43062-8947
Phone (740) 964-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.10833-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Services, LLC | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000
1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601
260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1447486360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 PURPLE FINCH LOOP",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430628947",
"telephone_number": "740-964-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143908",
"telephone_number": "614-566-3374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TRACY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.10833-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.