Individual provider Active NPI

Tracy Diane Helms, RN, MSN, C-FNP

  • Family Nurse Practitioner
  • Harbor Springs, MI
National Provider Identifier
1790957330
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704286158 Issued in MI
Practice address
8430 M 119 Unit 1
Harbor Springs, MI 49740-9439
Phone
(248) 469-5704
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 RN2311425 MD
Family Nurse Practitioner 363LF0000X 4704286158 MI Primary

Addresses

Primary practice location

8430 M 119 Unit 1
Harbor Springs, MI 49740-9439

Mailing address

4749 S Pleasantview Rd Unit 75
Harbor Springs, MI 49740-8304
Phone (248) 469-5704

Other practice location 1

325 Wise Ave
Baltimore, MD 21222-4942
Phone (248) 469-5704

Other names 1

  • Tracy Diane St Germain Former name

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)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2311425MDMDFamily Nurse Practitioner
4704286158MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1790957330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 S PLEASANTVIEW RD UNIT 75",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497408304",
            "telephone_number": "248-469-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 M 119 UNIT 1",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409439",
            "telephone_number": "248-469-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Wise Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212224942",
            "country_code": "US",
            "telephone_number": "248-469-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMS",
        "first_name": "TRACY",
        "middle_name": "DIANE",
        "credential": "RN, MSN, C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN2311425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704286158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ST GERMAIN",
            "middle_name": "DIANE",
            "credential": "RN, MSN, C-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.