1427058841 NPI number — TRACY E NAPP M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427058841 NPI number — TRACY E NAPP M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

NAPP

Provider First Name:

TRACY

Provider Middle Name:

E

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1427058841

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

01/08/2019

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

404 WASHINGTON AVE N UNIT 303

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MINNEAPOLIS

Provider Business Mailing Address State Name:

MN

Provider Business Mailing Address Postal Code:

55401-2903

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

320-420-1339

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1990 CONNECTICUT AVE S

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

SARTELL

Provider Business Practice Location Address State Name:

MN

Provider Business Practice Location Address Postal Code:

56377-2554

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

320-257-5595

Provider Business Practice Location Address Fax Number:

320-257-5596

Provider Enumeration Date:

07/28/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0202X , with the licence number:  40504 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2085R0204X , with the licence number: 40504 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: HP38571 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 965251015972 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 1588357 . This is a "ARAZ/ AMERICA'S PPO" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 531518200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: 16-01292 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 300082001 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 411772562 . This is a "GREATWEST HEALTHCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 9G488NA . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 121925C561 . This is a "UCARE OF MINNESOTA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 411772562 . This is a "TRICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".