TRACY JOY EDWARDS FNP NPI 1609805704

NPI Information

NPI: 1609805704
Provider Name: TRACY JOY EDWARDS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4200 CONNECTICUT AVE NW BLDG 44
WASHINGTON, DC
ZIP 20008
Phone: (202) 274-6434
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Tracy Joy Edwards, FNP is a family nurse practitioner in Washington, DC. Tracy Joy Edwards, FNP NPI is 1609805704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 CONNECTICUT AVE NW BLDG 44
WASHINGTON, DC
ZIP 20008-122
Phone: (202) 274-6434

The NPI 1609805704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 10/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	RN963123	DISTRICT OF COLUMBIA	No
2	363LF0000X	Nurse Practitioner	Family	RN963123	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019211M65	MEDICARE ID-TYPE UNSPECIFIED
2	Q67067	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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