Individual provider Active NPI

Tracy A Nurczyk, LM, CPM

  • Midwife
  • Gainesville, FL
National Provider Identifier
1881276772
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
406 Issued in FL
Practice address
521 NE 1St St
Gainesville, FL 32601-5709
Phone
(352) 377-3879
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 406 FL Primary

Addresses

Primary practice location

521 NE 1St St
Gainesville, FL 32601-5709

Mailing address

521 NE 1St St
Gainesville, FL 32601-5709
Phone (352) 377-3879

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
406FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1881276772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NE 1ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015709",
            "telephone_number": "352-377-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 NE 1ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015709",
            "telephone_number": "352-377-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURCZYK",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.