Tracy Lane Bradfield, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-02695 Issued in NM

Practice address

5800 McLeod Rd NE
Albuquerque, NM 87109-2454

Phone

(505) 453-0958

Fax

(505) 422-8612

NPI assigned

Aug 13, 2015

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SDLT, LLC

  dba Clinica Simpatica

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1689190357
  Medicare reassignment NPD

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659747681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 BROADWAY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075911",
            "telephone_number": "505-453-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MCLEOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092454",
            "telephone_number": "505-453-0958",
            "fax_number": "505-422-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFIELD",
        "first_name": "TRACY LANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50575716",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Bracamonte, RN
• Anne Bracey, MD
• Braden Partners LP (Pacific Pulmonary Services)
• Braden Partners LP (AdaptHealth)
• Max David Braden, D.C.
• Bradford C. Richards (Cognitive Behavioral Institute)
• Amber Eileen Bradford
• Brianna Bradford
• Joshua David Bradford
• Mary Bradford, PT

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.