Individual provider Active NPI

Tracy Day, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pollok, TX
National Provider Identifier
1700592805
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1098780 Issued in TX
Practice address
6844 N US Highway 69
Pollok, TX 75969-4548
Phone
(936) 634-3353
NPI assigned
Jan 23, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1098780 TX Primary

Addresses

Primary practice location

6844 N US Highway 69
Pollok, TX 75969-4548

Mailing address

3009 S John Redditt Dr Ste E309
Lufkin, TX 75904-5661
Phone (936) 337-4549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20230830002890 TX Practitioner - Nurse Practitioner 1052774585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6844 N US Hwy 69
Pollock, TX 75969-4548
Phone (936) 853-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1098780TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Jun 22, 2023 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Waypoint Psychiatry, PLLC CurrentSince May 7, 2023 Accepting new patients
Health and Human Services Commission CurrentSince Jun 22, 2023 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

3009 S John Redditt Dr
Ste E309
Lufkin, TX 75904

6844 N US Highway 69
Pollok, TX 75969
Phone (936) 634-3353

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1700592805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 S JOHN REDDITT DR STE E309",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045661",
            "telephone_number": "936-337-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 N US HIGHWAY 69",
            "city": "POLLOK",
            "state": "TX",
            "postal_code": "759694548",
            "telephone_number": "936-634-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "TRACY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1098780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pollok, TX

Sources for this page

Verify at the official NPI Registry.