Individual provider Active NPI

Tracy Wright, DVM

  • Veterinarian
  • Salt Lake City, UT
National Provider Identifier
1235471772
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
6826324-2801 Issued in UT
Practice address
755 E 4TH Ave
Salt Lake City, UT 84103-3871
Phone
(801) 662-8092
Fax
(801) 692-9166
NPI assigned
Mar 22, 2013
Last updated
Mar 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 6826324-2801 UT Primary

Addresses

Primary practice location

755 E 4TH Ave
Salt Lake City, UT 84103-3871

Mailing address

755 E 4TH Ave
Salt Lake City, UT 84103-3871
Phone (801) 662-8092

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
6826324-2801UTMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1235471772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 4TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033871",
            "telephone_number": "801-662-8092",
            "fax_number": "801-692-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 4TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841033871",
            "telephone_number": "801-662-8092",
            "fax_number": "801-692-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "6826324-2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.