MRS. TRACEY JO GUSTAVESON RN
NPI 1386355089
Registered Nurse - Community Health in Little Rock, AR

Q: What is Tracey Gustaveson's NPI number?

The NPI number for Tracey Gustaveson is 1386355089. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Q: What is Tracey Gustaveson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Gustaveson was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 13, 2022

14901 CANTRELL RD, LITTLE ROCK, AR 72223(501) 367-1200 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mrs. Tracey Jo Gustaveson Rn NPPES

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

MRS. TRACEY JO GUSTAVESON RN (NPI 1386355089) is an individual community health provider in Little Rock, Arkansas, licensed in Arkansas (R091797) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1386355089

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameMRS. TRACEY JO GUSTAVESONCredential: RN

Location Address14901 CANTRELL RDLittle Rock, AR 72223-4255

Mailing Address14901 Cantrell RdLittle Rock, AR 72223-4255 · (501) 367-1200

Phone(501) 367-1200

Sole ProprietorNo

Enumeration DateDecember 13, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1386355089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in AR · R091797

14901 CANTRELL RD, Little Rock, AR 72223

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Other Identifiers 1

OtherR091797AR · Arkansas State Board Of Nursing

Other Providers at the Same Location NPPES 4

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

ASHLEY SUE JENSON CCC-SLP

Speech-Language Pathologist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 821-5459

MR. FRANK H BREGY III OTR/L

Occupational Therapist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 227-3600

EASTERSEALS ARKANSAS

Community/Behavioral Health

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 367-1200

ALYSSA STATON M.S., CCC-SLP

Speech-Language Pathologist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 367-1200

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 Tracey Gustaveson's NPI number?

The NPI number for Tracey Gustaveson is 1386355089. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Tracey Gustaveson located?

Tracey Gustaveson practices at 14901 Cantrell Rd, Little Rock, AR 72223. The listed phone number is (501) 367-1200.

What is Tracey Gustaveson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Tracey Gustaveson was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.