MS. TRACIE CELESTE IRVIN LPN
NPI 1073659868
Licensed Practical Nurse in Rochester, NY

Q: What is Tracie Irvin's NPI number?

The NPI number for Tracie Irvin is 1073659868. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Tracie Irvin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Irvin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2007

69 ENTERPRISE ST, ROCHESTER, NY 14619(585) 328-2413(585) 328-2413 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Tracie Celeste Irvin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACIE CELESTE IRVIN LPN (NPI 1073659868) is an individual licensed practical nurse in Rochester, New York, licensed in New York (208170-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073659868

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. TRACIE CELESTE IRVINCredential: LPN

Location Address69 ENTERPRISE STRochester, NY 14619-2050

Mailing Address69 Enterprise StRochester, NY 14619-2050 · (585) 328-2413 · Fax (585) 328-2413

Phone(585) 328-2413

Fax(585) 328-2413

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1073659868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 208170-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

69 ENTERPRISE ST, Rochester, NY 14619

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Other Identifiers 1

Medicaid02291601NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Irvin's NPI number?

The NPI number for Tracie Irvin is 1073659868. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Tracie Irvin located?

Tracie Irvin practices at 69 Enterprise St, Rochester, NY 14619. The listed phone number is (585) 328-2413.

What is Tracie Irvin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tracie Irvin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.