Tracy Smith, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

127485 Issued in MO

Practice address

69 Doctors Park
Suite C
Cape Girardeau, MO 63703-4927

Phone

(573) 332-1900

Fax

(573) 332-0444

NPI assigned

Jan 28, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Southeast Missouri Network Against Sexual Violence Inc.

  • Voluntary or Charitable Agency
  • Jackson, MO
  • NPI 1972556843
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1508162215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 DOCTORS PARK",
            "address_2": "SUITE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-332-1900",
            "fax_number": "573-332-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 DOCTORS PARK",
            "address_2": "SUITE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-332-1900",
            "fax_number": "573-332-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MO",
            "license": "127485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Keith Smith, DO
• Rebecca L Smith, M.D.
• Scott Bryan Smith, D.C.
• Sophia Smith
• Stacy Marie Estes Smith, MSN, APRN, FNP-BC
• Trae Robert Smith, CRNA
• Travis Smith, LPC
• Ute G Smith, OTRL, CDRS
• Michelle Snell
• Kelley D Snider, M.A., CCC-SLP

• Ambulatory Care Registered Nurse in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Ambulatory Care Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.