Individual provider Active NPI

Tracy Booker, RN, BSN.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cleveland, OH
National Provider Identifier
1720700867
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN376398 Issued in OH
Practice address
10524 Euclid Ave
Cleveland, OH 44106-2205
Phone
(216) 983-0049
Fax
(216) 983-5131
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN376398 OH Primary

Addresses

Primary practice location

10524 Euclid Ave
Cleveland, OH 44106-2205

Mailing address

10524 Euclid Ave
Cleveland, OH 44106-2205
Phone (216) 983-0049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN376398OHMDAdult Psychiatric/Mental Health Registered Nurse

Interoperability endpoints

  • Direct secure messaging: tbooker27359@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1720700867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-983-0049",
            "fax_number": "216-983-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-983-0049",
            "fax_number": "216-983-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "TRACY",
        "credential": "RN, BSN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN376398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.