Tracy L Massengale in Oklahoma City - Family
Tracy L Massengale - NPI 1811080146
Tracy L Massengale is a Family in Oklahoma City, Oklahoma. Tracy L Massengale practices all healthcare services and medical treatments related to Family. The NPI Number for Tracy L Massengale is 1811080146. The last update date is 2022-09-19.
Tracy L Massengale's current location address is 13901 Technology Dr, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056062727 and fax number 4056067040. The mailing address for Tracy L Massengale is 13901 Technology Dr, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Massengale |
|---|---|
| Address | 13901 Technology Dr, Oklahoma City, Oklahoma |
| Phone Number | 4056062727 |
| Fax Number | 4056067040 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1811080146 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2022-09-19 |
Provider Mailing Address Detail
| Address | 13901 Technology Dr |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731341052 |
| Phone Number | 4056062727 |
| Fax Number | 4056067040 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 44471 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100106970B | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracy L Massengale by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy L Massengale has been assigned the NPI (National Provider Identifier) 1811080146. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Tracy L Massengale's facilities are situated?
The facilities of Tracy L Massengale are physically located at the following address: 13901 Technology Dr, Oklahoma City, OK, 731341052.
What is Tracy L Massengale's area of expertise and its corresponding taxonomy classification?
The Tracy L Massengale's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did Tracy L Massengale receive its 1811080146 assignment from the Centers for Medicare & Medicaid Services?
The Tracy L Massengale was assigned its 1811080146 on 2006-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracy L Massengale last refreshed?
The information related to the Tracy L Massengale, including its address, specialty, and other relevant details, was last updated on 2022-09-19.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN