Active NPI
Tracy Little Pritchard, APRN
- Family Nurse Practitioner
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11033614
- Practice address
- 4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822 - Phone
- (904) 269-4559
- Fax
- (904) 269-4597
- NPI assigned
- Jul 3, 2024
- Last updated
- Nov 8, 2024
- 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 | RN203700 | GA | |
| Family Nurse Practitioner | 363LF0000X | APRN11033614 | FL | Primary |
Addresses
Primary practice location
4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (904) 745-3618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488
391 S 1St St
Jesup, GA 31545-1132
Phone (912) 427-8433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Nurse Practitioner | Current | Accepting new patients |
| Advanced Health Care Center | Current | Accepting new patients | |
| Family Care Partners of Northeast Florida LLC | Past | Accepting new patients | |
| Diversity Health Center Inc. | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
391 S 1st St
Jesup, GA 31545
Phone (912) 427-8433
Interoperability endpoints
- https://api.platform.athenahealth.com/27472/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Jesup, GA
- NPI 1891891255
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
GA
-
- Family Medicine Physician
- Port Orange, FL
- NPI 1477855815
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1114529856
-
- Community/Retail Pharmacy
- Ludowici, GA
- NPI 1265274120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1881430437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 US HIGHWAY 17 STE 106",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034822",
"telephone_number": "904-269-4559",
"fax_number": "904-269-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHARD",
"first_name": "TRACY",
"middle_name": "LITTLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN203700",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11033614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
- Zaniya Benencia Potts
- Amy Christine Powell, APRN
- Stephanie Michelle Pratt, RN
- Precision Physician Group LLC
- Primary Dental Group LLC
- Pruitthealth - Fleming Island, LLC (PruittHealth - Fleming Island)
- Publix Super Markets Inc (Publix Pharmacy #1210)
- Pulmonary and Critical Care Associates P a
- Abdul A Qazizada, M.D.
- Mariah Alexandra Quero, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.