Evelyn Tracey-Issac

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

209745-1 Issued in NY

Practice address

17758 Meadow Rd
Jamaica, NY 11434-4949

Phone

(718) 506-6942

NPI assigned

Oct 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1720314800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17758 MEADOW RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17758 MEADOW RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344949",
            "telephone_number": "718-506-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY-ISSAC",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "209745-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Tovar Juarez
• Saiful Towhid, MD
• Bahtiyar Toz
• Maissa Najeh Trabilsy, MD, MPH
• Nancylee Tracey-Douglas
• Tiffany Tracey
• Track Star Tutoring
• Kerisha Traille-Chan, LPN
• Transitional Services for New York, Inc
• Transitional Services for New York,Inc.

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.