Tracy Heritage, RN

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Practice address

962 Luther Rd
East Greenbush, NY 12061-4015

Phone

(518) 207-2070

Fax

(518) 207-2079

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

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

• East Greenbush Central School District

  • Local Education Agency (LEA)
  • East Greenbush, NY
  • NPI 1275818635
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1255616504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 LUTHER RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120614015",
            "telephone_number": "518-207-2070",
            "fax_number": "518-207-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 LUTHER RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120614015",
            "telephone_number": "518-207-2070",
            "fax_number": "518-207-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERITAGE",
        "first_name": "TRACY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01409145",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hart DME Ny LLC
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• Martha Hernandez, PT
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• Cailin Hipps
• Todd D Hopwood, B.S.W., CASAC-T
• Zhuofan Huang

• Local Education Agency (LEA) in East Greenbush, NY
• Providers in East Greenbush, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.