Tracy Lee Denise, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

243195-1 Issued in NY

Practice address

88 East St
Honeoye Falls, NY 14472-1229

Phone

(585) 317-9810

Fax

(888) 294-7667

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1861807521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 EAST ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721229",
            "telephone_number": "585-317-9810",
            "fax_number": "888-294-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EAST ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721229",
            "telephone_number": "585-317-9810",
            "fax_number": "888-294-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISE",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "243195-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Cleary, DDS
• Stephen William Coleman, DPT
• Timothy Jon Damon, DDS
• Daniel Kloc PLLC
• Renee Marie Davis, ATC
• Sophie Szwagiel Dickinson, FNP
• Anne M Dobbertin
• Irene Dobstaff, MSED
• Sara Dolan, LMHC
• Sheryl Ehrmentraut, MD

• Licensed Practical Nurse in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.