Individual provider Active NPI

Tracie Fitch, CNP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1508305392
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP,020512 Issued in OH
Practice address
3043 Sanitarium Rd Ste 1
Akron, OH 44312-4600
Phone
(330) 628-4044
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP,020512 OH Primary

Addresses

Primary practice location

3043 Sanitarium Rd Ste 1
Akron, OH 44312-4600

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (330) 899-9350

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628002622 OH Practitioner - Nurse Practitioner 0648549089 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP,020512OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Jan 2, 2019 Accepting new patients
Pioneer Physicians Network, Inc. CurrentSince Jan 2, 2019 Accepting new patients

Locations

3043 Sanitarium Rd
Ste 1
Akron, OH 44312
Phone (330) 316-5499

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

2300 Wales Ave NW
Massillon, OH 44646
Phone (330) 832-3188

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1508305392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 SANITARIUM RD STE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124600",
            "telephone_number": "330-628-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "TRACIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP,020512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.