Tracy Price, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R27541 Issued in ND

Practice address

1100 13TH Ave E
West Fargo, ND 58078-3376

Phone

(701) 281-5695

NPI assigned

Sep 11, 2018

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

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.

• White Drug Co of Jamestown Inc

  • Community/Retail Pharmacy
  • West Fargo, ND
  • NPI 1033208640
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1972086353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BAKERS LN",
            "city": "REILES ACRES",
            "state": "ND",
            "postal_code": "581025426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783376",
            "telephone_number": "701-281-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRACY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R27541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli Poehler
• Anna Porter, DPT
• Christian Jalen Pratt, OD
• Tena Lorayn Prestidge
• Shainee Price
• Priced Right Optical
• Professional Portable Radiologic Services, Inc.
• Sarah Prom, LPC
• Providence Home Care L.L.C
• Providence Home Care L.L.C

• Registered Nurse in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.