Tracy Compton, RN, CSA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1092229 Issued in KY

Practice address

1704 N Dixie Hwy # 913
Elizabethtown, KY 42701-9449

Phone

(419) 673-0761

NPI assigned

Jun 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1548429293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PEAR ORCHARD RD NW",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019455",
            "telephone_number": "270-735-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N DIXIE HWY # 913",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019449",
            "telephone_number": "419-673-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "TRACY",
        "credential": "RN, CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1092229",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Clinic, Inc.
• Community Health Clinic, Inc.
• Community Medical Associates
• Comprehensive Anesthesia Services LLP
• Natasha H Compton, APSS
• Nita Conner, CSW
• Hillary Ann Connors, CSW
• Nikki Lynn Connour
• Jade Conrad
• Ashley Jordan Consley

• Registered Nurse in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; 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.