Individual provider Active NPI

Tracey Yvonne Plaskett, RN

  • College Health Registered Nurse
  • New York, NY
National Provider Identifier
1972721066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
416736-1 Issued in NY
Practice address
519 West 114TH St, MC 3601
John Jay Hall,3Rd Floor
New York, NY 10027
Phone
(212) 854-9842
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 416736-1 NY Primary

Addresses

Primary practice location

519 West 114TH St, MC 3601
John Jay Hall,3Rd Floor
New York, NY 10027

Mailing address

10 W 135TH St
Apt 5U
New York, NY 10037-2602
Phone (212) 234-8588

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
416736-1NYMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972721066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 135TH ST",
            "address_2": "APT 5U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372602",
            "telephone_number": "212-234-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 WEST 114TH ST, MC 3601",
            "address_2": "JOHN JAY HALL,3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10027",
            "telephone_number": "212-854-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASKETT",
        "first_name": "TRACEY",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "NY",
            "license": "416736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.