TRACY L KALUZNY PNP NPI 1609853332

NPI Information

NPI: 1609853332
Provider Name: TRACY L KALUZNY, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
101 W 8TH AVE STE 100L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5445
Get Directions

Tracy L Kaluzny, PNP is a pediatrics nurse practitioner in Spokane, WA. Tracy L Kaluzny, PNP NPI is 1609853332. 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:

101 W 8TH AVE STE 100L-1
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-5445
Fax: (509) 227-7070

The NPI 1609853332 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 12/23/2005 and was last updated on 4/1/2024.

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	363LP0200X	Nurse Practitioner	Pediatrics	AP61513080	WASHINGTON	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	10007831	OREGON	No
3	363LP0200X	Nurse Practitioner	Pediatrics	6233	TENNESSEE	No

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	5440038	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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