Active NPI
Tracy Inez Lutzy
- Licensed Practical Nurse
- Syracuse, NY
National Provider Identifier
1487837324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 269522-1
- Practice address
- 5276 Abbe Dr
Syracuse, NY 13219-3002 - Phone
- (315) 480-6509
- NPI assigned
- Dec 14, 2007
- Last updated
- Dec 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 269522-1 | NY | Primary |
Addresses
Primary practice location
5276 Abbe Dr
Syracuse, NY 13219-3002
Mailing address
5276 Abbe Dr
Syracuse, NY 13219-3002
Phone (315) 480-6509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276299 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269522-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1487837324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5276 ABBE DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193002",
"telephone_number": "315-480-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5276 ABBE DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193002",
"telephone_number": "315-480-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZY",
"first_name": "TRACY",
"middle_name": "INEZ",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "269522-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
- Myron O Luthringer, MD
- Cheryl Anne Luttinger, FNP
- Trina Luttinger, LCSW-R, CASAC
- Rachel L Lutwin, PA
- Charles J Lutz, MD
- Luxottica of America Inc (Oakley B102)
- Luxottica of America Inc (LensCrafters #723)
- Luxottica of America Inc. (LensCrafters #618)
- Luxottica of America Inc. (LensCrafters At Macy's #7469)
- Natalie Anne Luzzi, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.