TRACY LEIGH RIDER NP NPI 1245621168

NPI Information

NPI: 1245621168
Provider Name: TRACY LEIGH RIDER, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-2627
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Tracy Leigh Rider, NP is an acute care nurse practitioner in Gainesville, GA with 10 years of experience. Tracy Leigh Rider, NP NPI is 1245621168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

743 SPRING ST NE
GAINESVILLE, GA
ZIP 30501-715
Phone: (770) 219-2627

The NPI 1245621168 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 2/13/2015 and was last updated on 1/4/2019.

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	363LA2100X	Nurse Practitioner	Acute Care	RN102391	GEORGIA	Yes
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	RN102391	GEORGIA	No

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: 5/5/2024

NPI Synchronization or Removal

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