Tracy Pubal, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN.384456 Issued in OH

Practice address

67670 Traco Dr
Saint Clairsville, OH 43950-9375

Phone

(740) 695-2131

Fax

(740) 695-7106

NPI assigned

Jun 17, 2016

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

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.

• BHC Fox Run Hospital Inc

  • Psychiatric Hospital
  • Saint Clairsville, OH
  • NPI 1992760334
  NPD (past)

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1518317841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67670 TRACO DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509375",
            "telephone_number": "740-695-2131",
            "fax_number": "740-695-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67670 TRACO DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509375",
            "telephone_number": "740-695-2131",
            "fax_number": "740-695-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUBAL",
        "first_name": "TRACY",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN.384456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dominick Presutti, DDS
• Crystal Renee Price
• Marjorie Marie Prisner
• Tracy Allan Pritchard, L.I.S.W.
• PRSC Anesthesia Group LLC
• Rachel Pyle, MA, LPC
• Cassidy Marie Rainey
• Vickie Lynn Ramsay, RN
• Savanna Lea Ramsey
• Jamie Randall

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.