Tracy Childers Bartz
Individual provider Active NPI Home Health Registered Nurse · Danville, WV
NPI 1750003745 · NPPES record last updated May 23, 2024
Key facts
- NPI
- 1750003745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 246737 (WV)
- Practice address
- 298 Tricorn Rd
Danville, WV 25053-7148 - Phone
- (304) 369-1385
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246737 | NC | MD | Registered Nurse |
| 246737 | WV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Homecare, LLC | Current |
Accepting new patients |
Locations
298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 246737 | NC | |
| Home Health Registered Nurse | 163WH0200X | 246737 | WV | Yes |
Addresses
Primary practice location
298 Tricorn Rd
Danville, WV 25053-7148
Mailing address
298 Tricorn Rd
Danville, WV 25053-7148
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop/tablet |
Other providers in Danville, WV
- Lesley Banks
- Trina Banks
- Essica Barker
- Thomas R Barker Jr.
- Brooke Bartram
- Wendy Beauchamp
- Kaylee Beckett
- Jessica Ann Bedford
- Carlie Rose Bell
- Pauline Bell
All providers in Danville, WV · Home Health Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.