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TRACEY KING
NPI 1669805917
Licensed Practical Nurse in Medford, NY

Active since August 09, 2013
80 WILSON AVE, MEDFORD, NY 11763(631) 320-0535 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracey King NPPES

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

TRACEY KING (NPI 1669805917) is an individual licensed practical nurse in Medford, New York, licensed in New York (301073) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1669805917
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRACEY KING
Location Address80 WILSON AVEMedford, NY 11763-1095
Mailing Address80 Wilson AveMedford, NY 11763-1095 · (631) 320-0535
Phone(631) 320-0535
Sole ProprietorNo
Enumeration DateAugust 9, 2013
✔ NPI 1669805917 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 · 301073
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.
80 WILSON AVE, Medford, NY 11763
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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 King's NPI number?

The NPI number for Tracey King is 1669805917. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Tracey King located?

Tracey King practices at 80 Wilson Ave, Medford, NY 11763. The listed phone number is (631) 320-0535.

What is Tracey King'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 Tracey King was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.