Active NPI
Tracy N King, WHNP-BC
- Women's Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 866361
- Practice address
- 1050 E Flamingo Rd Ste 1071050
Las Vegas, NV 89119-7427 - Phone
- (702) 721-9799
- Fax
- (678) 968-2287
- NPI assigned
- Jul 24, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | COA.10725-NP | OH | |
| Women's Health Nurse Practitioner | 363LW0102X | 866361 | NV | Primary |
| Advanced Practice Midwife | 367A00000X | APRN11047357 | FL |
Addresses
Primary practice location
1050 E Flamingo Rd Ste 1071050
Las Vegas, NV 89119-7427
Mailing address
1050 E Flamingo Rd
Las Vegas, NV 89119-7427
Phone (702) 721-9799
Other practice location 1
1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866361 | NV | MD | Women's Health Nurse Practitioner |
| COA.10725-NP | OH | MD | Women's Health Nurse Practitioner |
| APRN11047357 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health FL P.a. | Women'S Health | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Absolute OBGYN LLC | Past | Accepting new patients |
Locations
1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229
Interoperability endpoints
- https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
Women'S Health
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1891925756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197427",
"telephone_number": "702-721-9799",
"fax_number": "678-968-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E FLAMINGO RD STE 1071050",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197427",
"telephone_number": "702-721-9799",
"fax_number": "678-968-2287"
}
],
"practiceLocations": [
{
"address_1": "1046 Mar Walt Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325476645",
"country_code": "US",
"telephone_number": "850-243-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "TRACY",
"middle_name": "N",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "COA.10725-NP",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "866361",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11047357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.