Individual provider Active NPI

Tracy Sitek, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1568823326
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP8478 Issued in AZ
Practice address
9481 E Ironwood Square Dr
Scottsdale, AZ 85258-4568
Phone
(480) 945-3629
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8478 AZ Primary

Addresses

Primary practice location

9481 E Ironwood Square Dr
Scottsdale, AZ 85258-4568

Mailing address

9481 E Ironwood Square Dr
Scottsdale, AZ 85258-4568
Phone (480) 945-3629

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

LicenseStateTypeSpecialty
AP8478AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Head Pain Institute LLC PastSince Mar 3, 2024 Accepting new patients
Aztmj, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1568823326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584568",
            "telephone_number": "480-945-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584568",
            "telephone_number": "480-945-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITEK",
        "first_name": "TRACY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.