Active NPI
Tracy Haefele Florant, MD
- Diagnostic Radiology Physician
- Fort Collins, CO
National Provider Identifier
1033142450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34787
- Practice address
- 430 Spinnaker LN
Fort Collins, CO 80525-5905 - Phone
- (970) 988-8637
- NPI assigned
- Jul 9, 2006
- Last updated
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34787 | CO | Primary |
Addresses
Primary practice location
430 Spinnaker LN
Fort Collins, CO 80525-5905
Mailing address
430 Spinnaker LN
Fort Collins, CO 80525-5905
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34787 | CO | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1033142450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SPINNAKER LN",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SPINNAKER LN",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255905",
"telephone_number": "970-988-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORANT",
"first_name": "TRACY",
"middle_name": "HAEFELE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "34787",
"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 May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.