Tracy Lynn Bennett, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN146400 Issued in GA

Practice address

3281 Kessock Ridge TRL
Snellville, GA 30039-3112

Phone

(678) 986-3315

NPI assigned

Jun 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Heart 2 Heart Hospice, Inc

  • Community Based Hospice Care Agency
  • Snellville, GA
  • NPI 1316582521
  NPD Authorized official

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1811379332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 KESSOCK RIDGE TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393112",
            "telephone_number": "678-986-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 KESSOCK RIDGE TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393112",
            "telephone_number": "678-986-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN146400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Aurielle Bell, LDO
• David Allen Bell, DPM
• Maranda Bell, RBT
• Rachel Marie Bellamy, BA, MBA, CSAC-R
• Benchmark Physical Therapy, Inc
• Juanita M Bentley, LPC
• Helen Berhanu
• Gregory S. Berkey, MD
• Best Medical Supply LLC
• Bester Psychological Services, LLC

• Family Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; 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.