Tracie Lynette Owens

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 120791 IV Issued in OH

Practice address

3112 Surf Ave
Lorain, OH 44053-1545

Phone

(440) 453-2116

NPI assigned

Apr 26, 2010

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

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.

• Tracie Taylor Nursing

  • Home Health Agency
  • Lorain, OH
  • NPI 1265718043
  NPD (past)

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1922325240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 SURF AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531545",
            "telephone_number": "440-453-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 SURF AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531545",
            "telephone_number": "440-453-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TRACIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 120791 IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tora S Overall
• Cynthia Overton, CDCA
• Cheria Owens
• Judy E Owens
• Ralph Owens
• Carrie Ann Ozkan, CDCA QMHS
• Theodore Raymond Pacheco, M.D.
• Nicole Pack, CNP
• Connie L Padilla
• Elba Padua

• Licensed Practical Nurse in Lorain, OH
• Providers in Lorain, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.