MR. TRACY HUNTER TAYLOR APRN PMHNP-BC; LMT NPI 1740405711

NPI Information

NPI: 1740405711
Provider Name: MR. TRACY HUNTER TAYLOR, APRN, PMHNP-BC; LMT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
425 N FREDONIA ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2610
Get Directions

MR. Tracy Hunter Taylor, APRN, PMHNP-BC; LMT is a psychiatric/mental health nurse practitioner in Longview, TX with 5 years of experience. MR. Tracy Hunter Taylor, APRN, PMHNP-BC; LMT NPI is 1740405711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 N FREDONIA ST
LONGVIEW, TX
ZIP 75601-464
Phone: (903) 758-2610
Fax: (903) 758-7081

The NPI 1740405711 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 4/16/2007 and was last updated on 2/8/2024.

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	363L00000X	Nurse Practitioner		AP145177	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	864711	TEXAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP145177	TEXAS	Yes
4	225700000X	Massage Therapist				No

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
1	AP145177	OTHER	TEXAS	TEXAS APRN LICENSE

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

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.

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