Individual provider Active NPI

Tracy Mignon Rousan, BSN-RN, HWNC-BC

  • Health & Wellness Coach
  • Sun City, AZ
National Provider Identifier
1730003914
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
RN209414 Issued in AZ
Practice address
9707 W Rolling Hills Dr
Sun City, AZ 85351-2460
Phone
(314) 698-3246
NPI assigned
Aug 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN209414 AZ
Registered Nurse 163W00000X 201905350RN OR
Health & Wellness Coach 171400000X 201905350RN OR
Health & Wellness Coach 171400000X RN209414 AZ Primary

Addresses

Primary practice location

9707 W Rolling Hills Dr
Sun City, AZ 85351-2460

Mailing address

9707 W Rolling Hills Dr
Sun City, AZ 85351-2460
Phone (314) 698-3246

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

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1730003914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 W ROLLING HILLS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512460",
            "telephone_number": "314-698-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 W ROLLING HILLS DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512460",
            "telephone_number": "314-698-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSAN",
        "first_name": "TRACY",
        "middle_name": "MIGNON",
        "credential": "BSN-RN, HWNC-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN209414",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201905350RN",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": "201905350RN",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AZ",
            "license": "RN209414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.