Individual provider Active NPI

Tracey Krangel, MSN, RN-BC, AGCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Concord, CA
National Provider Identifier
1619476819
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
4264 Issued in CA
Practice address
900 Lyon CT
Concord, CA 94518-2619
Phone
(973) 219-6235
NPI assigned
Feb 3, 2018
Last updated
Feb 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 815022 CA
Gerontology Clinical Nurse Specialist 364SG0600X 4264 CA Primary

Addresses

Primary practice location

900 Lyon CT
Concord, CA 94518-2619

Mailing address

900 Lyon CT
Concord, CA 94518-2619

Other identifiers 1

IdentifierTypeStateIssuer
4264OtherCASTATE LICENSE/CERTIFICATE NUMBER

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
815022CAMDCritical Care Medicine Registered Nurse
4264CAMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1619476819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LYON CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LYON CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182619",
            "telephone_number": "973-219-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANGEL",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN-BC, AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "815022",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE/CERTIFICATE NUMBER",
            "identifier": "4264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; 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.