MS. TRACY LEE EDWARDS PMHNP NPI 1568753127

NPI Information

NPI: 1568753127
Provider Name: MS. TRACY LEE EDWARDS, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
220 W COLFAX AVE STE 400
SOUTH BEND, IN
ZIP 46601
Phone: (574) 546-1900
Get Directions

MS. Tracy Lee Edwards, PMHNP is a psychiatric/mental health nurse practitioner in South Bend, IN. MS. Tracy Lee Edwards, PMHNP NPI is 1568753127. 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:

220 W COLFAX AVE STE 400
SOUTH BEND, IN
ZIP 46601-635
Phone: (574) 546-1900

The NPI 1568753127 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 4/29/2011 and was last updated on 3/27/2018.

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	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	607986	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71007338A	INDIANA	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »