Individual provider Active NPI

Traci Jo Westerfield, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Owensboro, KY
National Provider Identifier
1013930759
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
33224 Issued in KY
Practice address
1300 E 9TH St
Owensboro, KY 42303-0337
Phone
(859) 421-1806
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33224 KY
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 33224 KY Primary

Addresses

Primary practice location

1300 E 9TH St
Owensboro, KY 42303-0337

Mailing address

1300 E 9TH St
Owensboro, KY 42303-0337
Phone (270) 297-7332

Other identifiers 3

IdentifierTypeStateIssuer
000000260141OtherKYANTHEM
P00104776OtherKYRR-MEDICARE
64057243MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000051 KY Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Addiction Medicine 4981696739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Dec 13, 2022 Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

111 Susan Ave
Hopkinsville, KY 42240
Phone (270) 707-0005

4505 Lucky Strike Loop
Owensboro, KY 42303
Phone (270) 240-4892

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25134/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1013930759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030337",
            "telephone_number": "270-297-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 9TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030337",
            "telephone_number": "859-421-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERFIELD",
        "first_name": "TRACI",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33224",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "KY",
            "license": "33224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000260141",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-MEDICARE",
            "identifier": "P00104776",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64057243",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.