Tracy Joy Lebert, RN
Individual provider Active NPI Registered Nurse · Frankfort, NY
NPI 1598084592 · NPPES record last updated May 31, 2010
Key facts
- NPI
- 1598084592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 621584-1 (NY)
- Practice address
- 411 Canal St
Frankfort, NY 13340-3509 - Phone
- (315) 271-4892
- NPI assigned
- May 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621584-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 621584-1 | NY | Yes |
Addresses
Primary practice location
411 Canal St
Frankfort, NY 13340-3509
Mailing address
411 Canal St
Frankfort, NY 13340-3509
Phone (315) 271-4892
Other providers in Frankfort, NY
- Susan M Kantor
- Aleksey Karpovich
- Beverley Kehoe
- Kristen Lara Kiesow
- Jean Kosina
- Debra Ann Lusiak
- Natalya Lyubezhanina
- Tatyana Lyubezhanina
- Zhanna Lyubezhanina
- Nicole L Macdonough
All providers in Frankfort, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.