Individual provider Active NPI

Tracy McArthur, C-CHW

  • Community Health Worker
  • University Heights, OH
National Provider Identifier
1033748116
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
001378 Issued in OH
Practice address
14100 Cedar Road
Suite 240
University Heights, OH 44118
Phone
(215) 978-2609
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 001378 OH Primary

Addresses

Primary practice location

14100 Cedar Road
Suite 240
University Heights, OH 44118

Mailing address

14100 Cedar Road
Suite 240
University Heights, OH 44118
Phone (215) 978-2609

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

LicenseStateTypeSpecialty
001378OHMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1033748116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 CEDAR ROAD",
            "address_2": "SUITE 240",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "215-978-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR ROAD",
            "address_2": "SUITE 240",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "215-978-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARTHUR",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "C-CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "001378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.