Active NPI
Tracey Lynn Pardee Morgan
- Home Health Registered Nurse
- Andover, MN
National Provider Identifier
1629421250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- R-216908-8
- Practice address
- 13638 Narcissus St NW
Andover, MN 55304-7552 - Phone
- (651) 706-1127
- NPI assigned
- Jul 19, 2016
- Last updated
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | R-216908-8 | MN | Primary |
Addresses
Primary practice location
13638 Narcissus St NW
Andover, MN 55304-7552
Mailing address
13638 Narcissus St NW
Andover, MN 55304-7552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R-216908-8 | Other | MN | REGISTERED NURSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-216908-8 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1629421250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13638 NARCISSUS ST NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13638 NARCISSUS ST NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047552",
"telephone_number": "651-706-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDEE MORGAN",
"first_name": "TRACEY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "R-216908-8",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "R-216908-8",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andover, MN
- Optage Inc (Presbyterian Homes and Services Rehabilitation)
- Miriam Orucho, RN
- Megan Oslund, NP
- Jessica Ostmoe, RN
- Carlene Osweiler, MA, CCC-SLP
- Patience in Home Care LLC (Patience In Home Care)
- Patience in-Home Care Pca Services LLC
- Kaylin Payette, OTD OTR/L
- Alison Lynn Perry, MA, LPCC
- Lynda Lee Peterson, MA-CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.