Active NPI
Tracy Evans Andrews
- Home Health Registered Nurse
- Dothan, AL
National Provider Identifier
1992307292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 1-165100
- Practice address
- 805 Dogwood TRL
Dothan, AL 36301-2431 - Phone
- (334) 405-1659
- NPI assigned
- Nov 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 1-165100 | AL | Primary |
Addresses
Primary practice location
805 Dogwood TRL
Dothan, AL 36301-2431
Mailing address
805 Dogwood TRL
Dothan, AL 36301-2431
Phone (334) 405-1659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-165100 | AL | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1992307292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 DOGWOOD TRL",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012431",
"telephone_number": "334-405-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 DOGWOOD TRL",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012431",
"telephone_number": "334-405-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "TRACY",
"middle_name": "EVANS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AL",
"license": "1-165100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.