TRACY CORTEZAVAD APRN NPI 1558069690

NPI Information

  • NPI: 1558069690
  • Provider Name: TRACY CORTEZAVAD, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3567 RESERVE COMMONS DR
    SUITE 100
    MEDINA, OH
    ZIP 44256
  • Phone: (330) 536-3746

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NPI Details

Tracy Cortezavad, APRN is a psychiatric/mental health nurse practitioner in Medina, OH with 4 years of experience. Tracy Cortezavad, APRN NPI is 1558069690. 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:

3567 RESERVE COMMONS DR
SUITE 100
MEDINA, OH
ZIP 44256
Phone: (330) 536-3746

The NPI 1558069690 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 2/17/2023 and was last updated on 4/26/2023.

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
1163W00000XRegistered NurseRN.368860OHIONo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0033297OHIOYes

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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