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TRACIE M NAILLIEUX
NPI 1194688440
Registered Nurse in South Bend, IN

Active since December 04, 2025
3575 MOREAU CT STE 200, SOUTH BEND, IN 46628(219) 248-3666(219) 764-8403 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Dec 4, 2025 (2 updates tracked since 2025).

About Tracie M Naillieux NPPES

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

TRACIE M NAILLIEUX (NPI 1194688440) is an individual registered nurse in South Bend, Indiana, licensed in Indiana (28287900A) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1194688440
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameTRACIE M NAILLIEUX
Location Address3575 MOREAU CT STE 200South Bend, IN 46628-4387
Mailing Address3575 Moreau Ct Ste 200South Bend, IN 46628-4387 · (219) 248-3666 · Fax (219) 764-8403
Phone(219) 248-3666
Fax(219) 764-8403
Sole ProprietorYes
Enumeration DateDecember 4, 2025
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1194688440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IN · 28287900A
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
3575 MOREAU CT STE 200, South Bend, IN 46628
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Other Providers at the Same Location NPPES

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

DUNGARVIN INDIANA, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3575 MOREAU CT STE 200
SOUTH BEND, IN 46628
St. Joseph County (574) 245-5400

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 Naillieux's NPI number?

The NPI number for Tracie Naillieux is 1194688440. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Tracie Naillieux located?

Tracie Naillieux practices at 3575 Moreau Ct Ste 200, South Bend, IN 46628. The listed phone number is (219) 248-3666.

What is Tracie Naillieux's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Tracie Naillieux was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.