Active NPI
Tracy Lynn Flowers, LPN
- Licensed Vocational Nurse
- Nelsonville, OH
National Provider Identifier
1508921875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- PN-080653
- Practice address
- 96 Mill St
Nelsonville, OH 45764-1230 - Phone
- (740) 753-2755
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN-080653 | OH | Primary |
Addresses
Primary practice location
96 Mill St
Nelsonville, OH 45764-1230
Mailing address
PO Box 105
Mason, WV 25260-0105
Phone (304) 882-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2344501 | Medicaid | OH |
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 |
|---|---|---|---|
| PN-080653 | OH | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508921875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "MASON",
"state": "WV",
"postal_code": "252600105",
"telephone_number": "304-882-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 MILL ST",
"city": "NELSONVILLE",
"state": "OH",
"postal_code": "457641230",
"telephone_number": "740-753-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "OH",
"license": "PN-080653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2344501",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.