Tracy A Bauhs, CBRS

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CD255759J Issued in ID

Practice address

2201 N Ironwood PL Ste 100
Coeur D Alene, ID 83814-2670

Phone

(208) 769-4222

Fax

(844) 803-7399

NPI assigned

Nov 6, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1194397240
  NPD (past)
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1255756730
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1124662861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299",
            "fax_number": "208-625-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N IRONWOOD PL STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142670",
            "telephone_number": "208-769-4222",
            "fax_number": "844-803-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUHS",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "CBRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "ID",
            "license": "CD255759J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Bartlett
• Ashleigh Barton
• Haley Basnaw, PHARMD
• Mary Gerard Battaglia, ARNP
• Michele Moore Bauer, LCSW
• Brenen James Baumgartner, PHARM D
• Michelle L Baxter, ARNP
• Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS
• Be Well Therapy Group of Idaho PLLC
• Erika Jean Beachler, M.T.

• Community Health Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Community Health Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.