Healthcare Provider Details

I. General information

NPI: 1447168877
Provider Name (Legal Business Name): TRACY LYNN TINKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 W RACE ST
SOMERSET PA
15501-1922
US

IV. Provider business mailing address

1932 HUSBAND RD
SOMERSET PA
15501-7201
US

V. Phone/Fax

Practice location:
  • Phone: 814-443-4891
  • Fax:
Mailing address:
  • Phone: 814-443-4891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN321958
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: