Individual provider Active NPI

Jill Traczewitz, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Alexandria, LA
National Provider Identifier
1003066861
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
5745 Issued in LA
Practice address
2108 Texas Ave
Suite 3061
Alexandria, LA 71301-3944
Phone
(318) 443-8380
Fax
(318) 443-6079
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 5745 LA Primary

Addresses

Primary practice location

2108 Texas Ave
Suite 3061
Alexandria, LA 71301-3944

Mailing address

2108 Texas Ave
Suite 3061
Alexandria, LA 71301-3944
Phone (318) 443-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley M. Warshaw, Jr. M.D Apmc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1003066861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "SUITE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "SUITE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013944",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACZEWITZ",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "5745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.