Tracie Armstead-Payton
Individual provider Active NPI Private Vehicle · Maricopa, AZ
NPI 1124649165 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1124649165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- TLAP (AZ)
- Practice address
- 42778 W Irene Rd
Maricopa, AZ 85138-5898 - Phone
- (602) 435-8107
- NPI assigned
- Apr 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TLAP | AZ | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | TLAP | AZ | Yes |
Addresses
Primary practice location
42778 W Irene Rd
Maricopa, AZ 85138-5898
Mailing address
42778 W Irene Rd
Maricopa, AZ 85138-5898
Phone (602) 435-8107
Other providers in Maricopa, AZ
- Arizona Associates in Dentistry PC
- Arizona Dental Professionals, P.C.
- Arizona Foundation for Social Justice Children and Youth Services
- Arizona Shalom Center, LLC
- Ark Covernant
- Art of Empowerment Services Inc
- Emmanuel Kwadwo Asante
- Ashas'S Place LLC
- Assurance Behavioral Health
- Assurance Resources LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.