Active NPI
Tracy Thomas Gum, APRN, FNP-BC
- Family Nurse Practitioner
- Arnaudville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN096007-AP06308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144871 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN096007-AP06308 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current | Accepting new patients | |
| Lourdes After Hours LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Red Stick Emergency Group LLC | Current | Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Lourdes After Hours LLC | Current | Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current | Accepting new patients | |
| Garden District Telehealth Care | Current | Accepting new patients | |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Main Street Emergency Group LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
LA
-
- Health Service Clinic/Center
- Arnaudville, LA
- NPI 1275162141
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1821181801
-
- Urgent Care Clinic/Center
- Gonzales, LA
- NPI 1477899656
-
- Urgent Care Clinic/Center
- Saint Amant, LA
- NPI 1487024618
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.