MRS. TRACEY LYNN MCDONOUGH LPN
NPI 1902085194
Licensed Practical Nurse in Shalimar, FL

Q: What is Tracey Mcdonough's NPI number?

The NPI number for Tracey Mcdonough is 1902085194. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Q: What is Tracey Mcdonough'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 Tracey Mcdonough was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 24, 2007

150 RICHBOURG AVE, SHALIMAR, FL 32579(850) 833-4301(850) 833-4395 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tracey Lynn Mcdonough Lpn NPPES

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

MRS. TRACEY LYNN MCDONOUGH LPN (NPI 1902085194) is an individual licensed practical nurse in Shalimar, Florida, licensed in Florida (PN5156934) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1902085194

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. TRACEY LYNN MCDONOUGHCredential: LPN

Location Address150 RICHBOURG AVEShalimar, FL 32579-1221

Mailing Address221 Hospital Dr NeFort Walton Beach, FL 32548-5066 · (850) 833-9240

Phone(850) 833-4301

Fax(850) 833-4395

Sole ProprietorNo

Enumeration DateOctober 24, 2007

✔ NPI 1902085194 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 FL · PN5156934

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.

150 RICHBOURG AVE, Shalimar, FL 32579

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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 Mcdonough's NPI number?

The NPI number for Tracey Mcdonough is 1902085194. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Tracey Mcdonough located?

Tracey Mcdonough practices at 150 Richbourg Ave, Shalimar, FL 32579. The listed phone number is (850) 833-4301.

What is Tracey Mcdonough'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 Mcdonough was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.