Tracy Sutton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014013827 Issued in MO

Practice address

9900 Bren Rd E Ste 300W
Minnetonka, MN 55343-4402

Phone

(417) 592-0111

NPI assigned

May 29, 2014

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548672264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 SE 7TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631000",
            "telephone_number": "417-592-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E STE 300W",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434402",
            "telephone_number": "417-592-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "TRACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014013827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunu Chiropractic, Inc.
• Katelin Super, APRN CNP
• Supervalu Pharmacies Inc
• Suppes Enterprises, Inc.
• Janice A Suppes, DC
• Swanson & Walman PA
• Swanson Family Dentristry PA
• James Timothy Swanson, DDS
• Justin Skjei Swanson, DDS
• Rachel Marie Swanson, LPCC, LADC

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.