RANDALL SCOTT TRACY NP-C MSN CNOR RNFA
NPI 1114429495
Nurse Practitioner in Fort Worth, TX

Q: What is Randall Tracy's NPI number?

The NPI number for Randall Tracy is 1114429495. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Q: What is Randall Tracy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Tracy was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 02, 2018

1800 PARK PLACE AVE, FORT WORTH, TX 76110(682) 703-5600 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 2, 2018 (2 updates tracked since 2018).

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About Randall Scott Tracy Np-c Msn Cnor Rnfa NPPES

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

RANDALL SCOTT TRACY NP-C MSN CNOR RNFA (NPI 1114429495) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP135853) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1114429495

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameRANDALL SCOTT TRACYCredential: NP-C MSN CNOR RNFA

Location Address1800 PARK PLACE AVEFort Worth, TX 76110-1302

Mailing Address533 Riverbed DrCrowley, TX 76036-3543 · (682) 812-0270

Phone(682) 703-5600

Sole ProprietorNo

Enumeration DateMarch 2, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1114429495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP135853

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1800 PARK PLACE AVE, Fort Worth, TX 76110

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORTEX AND CORE WELLNESS LLC

Nurse Practitioner (Family)