Active NPI
Tracy Wery, CPM
- Midwife
- La Mesa, CA
National Provider Identifier
1174956296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM244
- Practice address
- 5400 Aztec Dr
La Mesa, CA 91942-2111 - Phone
- (616) 764-9622
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | LM244 | CA | Primary |
Addresses
Primary practice location
5400 Aztec Dr
La Mesa, CA 91942-2111
Mailing address
5400 Aztec Dr
La Mesa, CA 91942-2111
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
| License | State | Type | Specialty |
|---|---|---|---|
| LM244 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1174956296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 AZTEC DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 AZTEC DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422111",
"telephone_number": "616-764-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERY",
"first_name": "TRACY",
"credential": "CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.