Active NPI
Tracy M Hunt, NP
- Gerontology Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1710720313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1166658
- Practice address
- 13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124 - Phone
- (361) 387-9413
- Fax
- (361) 387-9616
- NPI assigned
- Jun 13, 2024
- Last updated
- Jun 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1166658 | TX | Primary |
Addresses
Primary practice location
13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Mailing address
13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Phone (361) 387-9413
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703001078 | TX | Practitioner - Nurse Practitioner | 4284178021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- tracy.hunt.1@20074.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1710720313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13725 NORTHWEST BLVD STE A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105124",
"telephone_number": "361-387-9413",
"fax_number": "361-387-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13725 NORTHWEST BLVD STE A",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784105124",
"telephone_number": "361-387-9413",
"fax_number": "361-387-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "TRACY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1166658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.