Active NPI
Tracey Lynn Freed, PBT
- Phlebotomy Technician
- Ellwood City, PA
National Provider Identifier
1154096261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 618 Portersville Rd.
Ellwood City, PA 16117 - Phone
- (724) 971-1218
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | PA | Primary |
Addresses
Primary practice location
618 Portersville Rd.
Ellwood City, PA 16117
Mailing address
618 Portersville Rd.
Ellwood City, PA 16117
Phone (724) 971-1218
Other names 1
- Miss Tracey Creese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1154096261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 PORTERSVILLE RD.",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "16117",
"telephone_number": "724-971-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PORTERSVILLE RD.",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "16117",
"telephone_number": "724-971-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "TRACEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "CREESE",
"prefix": "MISS",
"credential": "PBT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.