Individual provider Active NPI

Tracy McMullen, RN

  • School Registered Nurse
  • Wilmington, DE
National Provider Identifier
1952549594
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L10021843 Issued in DE
Practice address
1417 Newport Rd
New Castle Cty Votech School District
Wilmington, DE 19804-3425
Phone
(302) 449-3602
Fax
(302) 376-6796
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L10021843 DE Primary

Addresses

Primary practice location

1417 Newport Rd
New Castle Cty Votech School District
Wilmington, DE 19804-3425

Mailing address

1417 Newport Rd
New Castle Cty Votech School District
Wilmington, DE 19804-3425
Phone (302) 449-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L10021843DEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1952549594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NEWPORT RD",
            "address_2": "NEW CASTLE CTY VOTECH SCHOOL DISTRICT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043425",
            "telephone_number": "302-449-3602",
            "fax_number": "302-376-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NEWPORT RD",
            "address_2": "NEW CASTLE CTY VOTECH SCHOOL DISTRICT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043425",
            "telephone_number": "302-449-3602",
            "fax_number": "302-376-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L10021843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.