Tracie Lynn Barnes, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

4547 Issued in OH

Practice address

3504 Valleywood Dr
Kettering, OH 45429-4237

Phone

(937) 510-4428

NPI assigned

Nov 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1104223072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 VALLEYWOOD DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294237",
            "telephone_number": "937-510-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 VALLEYWOOD DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294237",
            "telephone_number": "937-510-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noriko Tsuchihashi Banerjee, RN, CNP
• Bruce Banias, M.D.
• Melissa K Banks, DDS
• Macy Banner
• Robert L Barker, M.D.
• Joel R Barnett, MD
• Michelle Barrord, MD
• Annabeth Pruett Barry, PA-C, MBA
• Gay Lynn Bartlett, MA CCC-SLP
• Qasim Bashir, M.D.

• Athletic Trainer in Kettering, OH
• Providers in Kettering, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.