Active NPI
Tracie E Wilson
- Driver
- Greensburg, IN
National Provider Identifier
1073757530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 8918-41-7119
- Practice address
- 3198 W County Road 500 N
Greensburg, IN 47240-9757 - Phone
- (812) 593-5485
- Fax
- (812) 663-8632
- NPI assigned
- Apr 28, 2009
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 8918-41-7119 | IN | Primary |
Addresses
Primary practice location
3198 W County Road 500 N
Greensburg, IN 47240-9757
Mailing address
3198 W County Road 500 N
Greensburg, IN 47240-9757
Phone (812) 593-5485
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1073757530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 W COUNTY ROAD 500 N",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472409757",
"telephone_number": "812-593-5485",
"fax_number": "812-663-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3198 W COUNTY ROAD 500 N",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472409757",
"telephone_number": "812-593-5485",
"fax_number": "812-663-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TRACIE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IN",
"license": "8918-41-7119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.