Tracy A Purcell, MS ATC CKTP

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

274 Issued in NH

Practice address

1 Crosby St.
Davis Varsity House
Hanover, NH 03755

Phone

(603) 646-2472

Fax

(603) 646-6455

NPI assigned

Feb 22, 2007

Last updated

Oct 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy A Poro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1093840951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HB 6083 ALUMNI HALL",
            "address_2": "DARTMOUTH COLLEGE",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-646-2472",
            "fax_number": "603-646-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROSBY ST.",
            "address_2": "DAVIS VARSITY HOUSE",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-646-2472",
            "fax_number": "603-646-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "MS ATC CKTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PORO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice E Pilon, DDS
• Eliza Grace Polli, PSY.D.
• Amber L Porter, OTR, FNP, APRN
• James Robert Predmore, D.D.S.
• Vanessa Prendes
• Julie Puttgen, MA, CMHC
• Mirella Cristina Ramirez-Maggi, PH.D.
• James Albert Rao, LMSW, PHD
• Raymond a Howard, Licsw, LLC
• Catherine M Reed

• Athletic Trainer in Hanover, NH
• Providers in Hanover, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.