Individual provider Active NPI

Tracy Leigh Pritchard, MS, CNS, LDN

  • Nutritionist
  • Leonardtown, MD
National Provider Identifier
1639708993
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4397 Issued in MD
Practice address
23140 Moakley St Ste 6
Leonardtown, MD 20650-2931
Phone
(301) 690-8404
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX4397 MD Primary

Addresses

Primary practice location

23140 Moakley St Ste 6
Leonardtown, MD 20650-2931

Mailing address

PO Box 2514
Leonardtown, MD 20650-8514
Phone (301) 690-8404

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
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX4397MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Psychotherapy, LLC CurrentSince Mar 31, 2024 Accepting new patients

Locations

23140 Moakley St
Ste 6
Leonardtown, MD 20650
Phone (301) 481-8088

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.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1639708993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2514",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206508514",
            "telephone_number": "301-690-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 6",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502931",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "TRACY",
        "middle_name": "LEIGH",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.