Tracey Lynn Scissum, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN158406 Issued in GA

Practice address

424 Decatur St SE
Atlanta, GA 30312-1848

Phone

(404) 880-3567

NPI assigned

Apr 4, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1932372539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72756",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300072756",
            "telephone_number": "770-861-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121848",
            "telephone_number": "404-880-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCISSUM",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN158406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Cappelli Schwerzler, RPH
• Ryan R Schwerzmann, LMFT
• Lara Annika Schwieger
• Ashley Sciandra
• Jason Daniel Sciarretta, M.D.
• Lily Scivicque, LPC
• Christopher D Scoma, DC, NMT
• Scooters 'N Chairs Inc.
• Score ABA Ga LLC
• Score ABA LLC

• Administrator Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.