Individual provider Active NPI

Traci Lyn Vicari, APRN

  • Family Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1457358020
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2148942 Issued in FL
Practice address
4823 Seth LN
Plant City, FL 33565-6804
Phone
(813) 610-4244
NPI assigned
Jun 28, 2005
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN2148942 FL Primary

Addresses

Primary practice location

4823 Seth LN
Plant City, FL 33565-6804

Mailing address

4823 Seth LN
Plant City, FL 33565-6804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20060501000435 FL Practitioner - Nurse Practitioner 6103878046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 W Gandy Blvd
TGH Urgent Care Powered by Fast Tra
Tampa, FL 33611-2931
Phone (813) 925-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Feb 5, 2024 Accepting new patients
Tampa Medical Partners Inc. Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Feb 5, 2024 Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Watson Clinic LLP PastSince Jul 1, 2023 Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients
Robert a. Norman, D.O., P.a. PastSince Mar 1, 2024 Accepting new patients

Locations

2700 W Mlk Blvd
Ste 210
Tampa, FL 33607
Phone (813) 873-3600

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

8140 Picton Way
Ste 103
Trinity, FL 34655
Phone (727) 375-9700

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: tvicari289720@direct.tgh.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1457358020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 SETH LN",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335656804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 SETH LN",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335656804",
            "telephone_number": "813-610-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICARI",
        "first_name": "TRACI",
        "middle_name": "LYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2148942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.