Active NPI
Alice M Trautman, DC
- Chiropractor
- Ocala, FL
National Provider Identifier
1205829512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005053
- Practice address
- 8484 SW 103Rd Street Rd
Ocala, FL 34481-7766 - Phone
- (352) 854-1112
- Fax
- (352) 237-0946
- NPI assigned
- Aug 23, 2005
- Last updated
- Jun 26, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0005053 | FL | Primary |
| Chiropractor | 111N00000X | 609 | SD | |
| Chiropractor | 111N00000X | 1937 | CO | |
| Chiropractor | 111N00000X | 3750 | AZ | |
| Chiropractor | 111N00000X | 4892 | IA |
Addresses
Primary practice location
8484 SW 103Rd Street Rd
Ocala, FL 34481-7766
Mailing address
5895 SW 52ND St
Ocala, FL 34474-5664
Phone (352) 237-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70739 | Other | FL | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 609 | SD | MD | Clinical Psychologist |
| CH0005053 | FL | MD | Chiropractor |
| 4892 | IA | MD | Chiropractor |
| 3750 | AZ | MD | Medical Physician Assistant |
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.
-
- Neurology Chiropractor
- Ocala, FL
- NPI 1972769784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1205829512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5895 SW 52ND ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344745664",
"telephone_number": "352-237-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8484 SW 103RD STREET RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344817766",
"telephone_number": "352-854-1112",
"fax_number": "352-237-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTMAN",
"first_name": "ALICE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005053",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "609",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "1937",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "3750",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "4892",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "70739",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.