Provider Demographics
NPI:1225546021
Name:THOMPSON, TRACY LEIGH (RN)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LEIGH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN
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Other - Credentials:
Mailing Address - Street 1:16200 ADDISON RD STE 155
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5333
Mailing Address - Country:US
Mailing Address - Phone:972-417-8937
Mailing Address - Fax:
Practice Address - Street 1:10450 E RIGGS RD STE 114
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7760
Practice Address - Country:US
Practice Address - Phone:480-505-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-15
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ239349363L00000X
MI4704262656163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WH0200XNursing Service ProvidersRegistered NurseHome Health