Active NPI
Tracie Michele Nations, APRN, FNP,CEN
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1639428642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- KY3007656
- Practice address
- 1850 Bluegrass Ave
Louisville, KY 40215-1161 - Phone
- (502) 361-6000
- NPI assigned
- Sep 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3007656 | KY | |
| Nurse Practitioner | 363L00000X | KY3007656 | KY | Primary |
Addresses
Primary practice location
1850 Bluegrass Ave
Louisville, KY 40215-1161
Mailing address
1850 Bluegrass Ave
Louisville, KY 40215-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY3007656 | KY | MD | Nurse Practitioner |
| 3007656 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services P C | Nurse Practitioner | Current | Accepting new patients |
Locations
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1639428642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 BLUEGRASS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 BLUEGRASS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402151161",
"telephone_number": "502-361-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIONS",
"first_name": "TRACIE",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "APRN, FNP,CEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007656",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "KY3007656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.