Tracey Murrell Kesterson, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

627504 Issued in TX

Practice address

3729 Echo TRL
Fort Worth, TX 76109-3434

Phone

(228) 327-7138

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tracey McCullough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1689453219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 ECHO TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093434",
            "telephone_number": "228-327-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 ECHO TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093434",
            "telephone_number": "228-327-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTERSON",
        "first_name": "TRACEY",
        "middle_name": "MURRELL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "627504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "MCCULLOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Alan Kerr, P.T.
• Kerricher Dialysis, LLC
• Cassidy Rae Keshvani, PA-C
• Ruth Marie Kested, PA
• Oliver Lee Kesterson III, M.D.
• Ashley Ketchum, LCSW
• Manoj A Ketkar, MD
• Kassidy Ketron, LMSW
• Lauren Kendall Kettenhofen, DC
• Megan Kevil, DO

• Critical Care Medicine Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Critical Care Medicine Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.