Active NPI
Traci Hill Hulse, DVM
- Veterinarian
- Buckeye, AZ
National Provider Identifier
1013344175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 3265
- Practice address
- 20908 W Durango St
Buckeye, AZ 85326-9701 - Phone
- (623) 386-2928
- Fax
- (623) 386-7914
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 3265 | AZ | Primary |
Addresses
Primary practice location
20908 W Durango St
Buckeye, AZ 85326-9701
Mailing address
20908 W Durango St
Buckeye, AZ 85326-9701
Phone (623) 386-2928
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3265 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1013344175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20908 W DURANGO ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269701",
"telephone_number": "623-386-2928",
"fax_number": "623-386-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20908 W DURANGO ST",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269701",
"telephone_number": "623-386-2928",
"fax_number": "623-386-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "TRACI",
"middle_name": "HILL",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AZ",
"license": "3265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.