Organization Active NPI

Traci R Garringer, Inc

  • Case Management Agency
  • Mountain Home, AR
National Provider Identifier
1144630203
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
4033-C Issued in AR
Legal business name
TRACI R GARRINGER, INC
Practice address
15 E 5TH St
Mountain Home, AR 72653-3809
Phone
(870) 425-2030
Fax
(870) 425-7030
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Mrs. Traci R Garringer, LCSWNPI 1447399878
Title
Owner
Phone
(870) 425-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4033-C AR Primary

Addresses

Primary practice location

15 E 5TH St
Mountain Home, AR 72653-3809

Mailing address

15 E 5TH St
Mountain Home, AR 72653-3809
Phone (870) 425-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140502001154 AR Part B Supplier - Clinic/Group Practice 4284867938 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

15 E 5th St
Mountain Home, AR 72653
Phone (870) 321-2544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1144630203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 5TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533809",
            "telephone_number": "870-425-2030",
            "fax_number": "870-425-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 5TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533809",
            "telephone_number": "870-425-2030",
            "fax_number": "870-425-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI R GARRINGER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "GARRINGER",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-2030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "4033-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.