Individual provider Active NPI

Tracey Ann Dugi, APRN

  • Neonatal Nurse Practitioner
  • La Vernia, TX
National Provider Identifier
1750048963
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
1059138 Issued in TX
Practice address
108 Legacy Way
La Vernia, TX 78121-5689
Phone
(830) 534-8117
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 1059138 TX Primary

Addresses

Primary practice location

108 Legacy Way
La Vernia, TX 78121-5689

Mailing address

108 Legacy Way
La Vernia, TX 78121-5689
Phone (830) 534-8117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000025 TX Practitioner - Nurse Practitioner 7113386905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Partners LLC Past Accepting new patients
Texas Inpatient Pediatrics, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1750048963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEGACY WAY",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215689",
            "telephone_number": "830-534-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEGACY WAY",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215689",
            "telephone_number": "830-534-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGI",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1059138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

Verify at the official NPI Registry.