Tracena Annette Studmire, HOME HEALTH

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

005538400 Issued in FL

Practice address

351 Delancey Dr
Davenport, FL 33837-7644

Phone

(321) 682-6819

Fax

(407) 870-9605

NPI assigned

Jun 25, 2014

Last updated

Oct 30, 2015By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Passion for Careing Home Health Angency LLC

  • Home Health Registered Nurse
  • Haines City, FL
  • NPI 1356800767
  NPD Authorized official
• Passion for Careing Inc

  • Homemaker
  • Haines City, FL
  • NPI 1881216562
  NPD Authorized official

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1932514254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12513 WISCONSIN WOODS LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328249022",
            "telephone_number": "321-682-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELANCEY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377644",
            "telephone_number": "321-682-6819",
            "fax_number": "407-870-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDMIRE",
        "first_name": "TRACENA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "HOME HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "005538400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005538400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka E Stephens, APRN, LCSW
• Geoffrey Stewart, M.D.
• Nicole Wilburn Stokes, PA-C, ATC
• Synnamon Alyse Stone, BT
• Kenneth J Stroub, D.O.
• William Stupelis
• Alexis Francisco Suarez, APRN
• Prem Srinivas Subramaniyam, MD
• Suma & Durga PA (Advanced Health Specialists)
• Sun Health and Wellness, Inc (First Choice Specialty Pharmacy)

• Adult Development & Aging Psychologist in Davenport, FL
• Providers in Davenport, FL by specialty
• Adult Development & Aging Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.