Individual provider Active NPI

Tracy Strother, RD

  • Renal Nutrition Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1003312885
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
931125 Issued in CO
Practice address
1918 S Lemay Ave Ste B
Fort Collins, CO 80525
Phone
(970) 231-3411
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 931125 CO Primary

Addresses

Primary practice location

1918 S Lemay Ave Ste B
Fort Collins, CO 80525

Mailing address

1308 Woodview PL
Fort Collins, CO 80526-3047
Phone (970) 231-3411

Other practice location 1

1600 Specht Point Rd Ste 127
Fort Collins, CO 80525-4311
Phone (970) 493-7733

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1003312885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 WOODVIEW PL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263047",
            "telephone_number": "970-231-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 S LEMAY AVE STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-231-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Specht Point Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254311",
            "country_code": "US",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "TRACY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CO",
            "license": "931125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.