Traci Daniel Talbert, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2905 San Gabriel St Ste 306
Austin, TX 78705-3559

Phone

(512) 474-2772

Fax

(512) 479-6002

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Traci Regina Daniel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1013238385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SINGLETON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021441",
            "telephone_number": "512-695-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL ST STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053559",
            "telephone_number": "512-474-2772",
            "fax_number": "512-479-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "TRACI",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "DANIEL",
            "middle_name": "REGINA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prachi Taklikar, DPT
• Fahimeh Talaei, MD
• Andrew Talamantes
• Tori Talamantez
• Ma Fe Cabatingan Talamor
• Sarah Catherine Talbot, PA-C
• Courtney Katherine Talbott, RD
• Lawrence Brent Talbott, MD
• Hani Talebi, PH.D.
• Maryam Talebiazar, RPH

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.