Tracy Dawn Garza, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

MI-4601 Issued in CO

Practice address

12621 Zuni St Apt 17-102
Broomfield, CO 80020-3806

Phone

(719) 924-2443

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1164793394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ZUNI ST APT 17-102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203806",
            "telephone_number": "719-924-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ZUNI ST APT 17-102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203806",
            "telephone_number": "719-924-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CO",
            "license": "MI-4601",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CO",
            "license": "NA-365660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuli Gao
• Jonathan Garber, MA, LPCC, NCC
• James Richard Garcia, RPH
• Gina Gardner-Wood
• Lauren E Gardner, MA, LPC, NCC
• Michelle Gaskins, LPCC
• Louis A Gaston
• Tiffany Gates, OD, FAAO, FSLS
• Pamela S Gatewood, PT
• Geiselhofer Limited

• Licensed Psychiatric Technician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Licensed Psychiatric Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.