Active NPI
Traci R Garringer, Inc
- Case Management Agency
- Mountain Home, AR
National Provider Identifier
1144630203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 4033-C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Traci R Garringer, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Mountain Home, AR
- NPI 1447399878
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.