Individual provider Active NPI

Tracy Hall, RPSGT, CCSH

  • Other Specialist/Technologist
  • Liberty Hill, TX
National Provider Identifier
1174194922
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
22553 Issued in TX
Practice address
116 Mindy Way
Liberty Hill, TX 78642-4526
Phone
(504) 407-6708
NPI assigned
Jul 2, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 548 TX
Other Specialist/Technologist 246Z00000X 22553 TX Primary

Addresses

Primary practice location

116 Mindy Way
Liberty Hill, TX 78642-4526

Mailing address

116 Mindy Way
Liberty Hill, TX 78642-4526
Phone (504) 407-6708

Other identifiers 2

IdentifierTypeStateIssuer
22553OtherBOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST
548OtherBOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST

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

State licenses

LicenseStateTypeSpecialty
548TXMDHealth Educator
22553TXMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
ZDH Discovery LTD CurrentSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1174194922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MINDY WAY",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424526",
            "telephone_number": "504-407-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MINDY WAY",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424526",
            "telephone_number": "504-407-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TRACY",
        "credential": "RPSGT, CCSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": "548",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "22553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST",
            "identifier": "22553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST",
            "identifier": "548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.