Individual provider Active NPI

Tracy Thomas Gum, APRN, FNP-BC

  • Family Nurse Practitioner
  • Arnaudville, LA
National Provider Identifier
1750681920
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN096007-AP06308 Issued in LA
Practice address
119 Fuselier Rd
Arnaudville, LA 70512-6134
Phone
(225) 936-8990
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06308 LA
Family Nurse Practitioner 363LF0000X RN096007-AP06308 LA Primary

Addresses

Primary practice location

119 Fuselier Rd
Arnaudville, LA 70512-6134

Mailing address

PO Box 618
Arnaudville, LA 70512-0618
Phone (225) 936-8990

Other practice location 1

304 Union St.
Arnaudville, LA 70512
Phone (225) 936-8990

Other identifiers 1

IdentifierTypeStateIssuer
2144871MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110218000485 LA Practitioner - Nurse Practitioner 5890976260 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN096007-AP06308LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Feb 1, 2011 Accepting new patients
Lake Urgent Care Ascension LLC Current Accepting new patients
Lourdes After Hours LLC CurrentSince Feb 3, 2020 Accepting new patients
Convenient Care LLC CurrentSince Feb 18, 2015 Accepting new patients
Convenient Care LLC Current Accepting new patients
Red Stick Emergency Group LLC CurrentSince Sep 12, 2011 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 18, 2015 Accepting new patients
Convenient Care LLC CurrentSince Feb 18, 2015 Accepting new patients
Lourdes After Hours LLC CurrentSince Feb 3, 2020 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 18, 2015 Accepting new patients
Garden District Telehealth Care CurrentSince Aug 15, 2021 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Feb 1, 2011 Accepting new patients
Main Street Emergency Group LLC CurrentSince Apr 5, 2020 Accepting new patients
HMG Physicians, LLC Past Accepting new patients
Lake Urgent Care Ascension LLC Past Accepting new patients

Locations

3333 Drusilla Ln
Ste B
Baton Rouge, LA 70809
Phone (225) 924-3906

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

8585 Picardy Ave
Ste 114
Baton Rouge, LA 70809
Phone (225) 387-7700

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

1700 Kaliste Saloom Rd
Ste 200
Lafayette, LA 70508
Phone (337) 981-5085

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: tgum4152@direct.casso.us.com

Organizations & group practices 15

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.

View all 15

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes After Hours LLC 29 clinicians

Practice addresses (Care Compare)

1630 Chemin Metairie Pkwy
Youngsville, LA 70592-6780
Phone (337) 573-1444

1821 Rees St
Breaux Bridge, LA 70517-4209
Phone (337) 442-6959

3824 NE Evangeline Thruway
Carencro, LA 70520-5966
Phone (337) 565-2675

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1750681920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "705120618",
            "telephone_number": "225-936-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FUSELIER RD",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "705126134",
            "telephone_number": "225-936-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Union St.",
            "address_purpose": "LOCATION",
            "city": "Arnaudville",
            "state": "LA",
            "postal_code": "70512",
            "country_code": "US",
            "telephone_number": "225-936-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUM",
        "first_name": "TRACY",
        "middle_name": "THOMAS",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN096007-AP06308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144871",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnaudville, LA

Sources for this page

Verify at the official NPI Registry.