MS. TRACEY D CLAY FNP-BC NPI 1407821549

NPI Information

  • NPI: 1407821549
  • Provider Name: MS. TRACEY D CLAY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3430 LAKEVIEW PKWY
    ROWLETT, TX
    ZIP 75088
  • Phone: (972) 515-8700

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NPI Details

MS. Tracey D Clay, FNP-BC is a family nurse practitioner in Rowlett, TX. MS. Tracey D Clay, FNP-BC NPI is 1407821549. 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:

3430 LAKEVIEW PKWY
ROWLETT, TX
ZIP 75088-367
Phone: (972) 515-8700
Fax: (469) 728-7352

The NPI 1407821549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/20/2014.

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
1363LF0000XNurse PractitionerFamily0024164004VIRGINIANo
2363LF0000XNurse PractitionerFamily1161262FLORIDANo
3363LF0000XNurse PractitionerFamily786261TEXASYes

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
1TXB142447MEDICARE PINTEXAS
2TXB142457MEDICARE PINTEXAS
3TXB142461MEDICARE PINTEXAS
4P04209MEDICARE UPIN
5006880S33MEDICARE ID-TYPE UNSPECIFIED
6010159792MEDICAIDVIRGINIA

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: 11/21/2025

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