Active NPI
Tracey Alayne Ryder, D.C.
- Chiropractor
- Everett, WA
National Provider Identifier
1275507303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034253
- Practice address
- 4809 132ND St SE, #C101
Everett, WA 98208 - Phone
- (425) 585-0507
- Fax
- (425) 948-7947
- NPI assigned
- Feb 15, 2006
- Last updated
- Feb 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0034253 | WA | |
| Chiropractor | 111N00000X | CH00034253 | WA | Primary |
Addresses
Primary practice location
4809 132ND St SE, #C101
Everett, WA 98208
Mailing address
4809 132ND St SE, #C101
Everett, WA 98208
Phone (425) 585-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2515 N Scottsdale Rd
Suite 14
Scottsdale, AZ 85257-1352
Phone (480) 656-1147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034253 | WA | MD | Chiropractor |
| CH0034253 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tracey Rosenfeld LLC | Current | Accepting new patients | |
| Eric D Hansen DC Inc PS | Chiropractor | Past | Accepting new patients |
| Ryder-Holt, Inc | Chiropractor | Past | Accepting new patients |
Locations
2515 N Scottsdale Rd
Ste 14
Scottsdale, AZ 85257
Phone (480) 656-1147
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1831897933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1275507303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 132ND ST SE, #C101",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-585-0507",
"fax_number": "425-948-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 132ND ST SE, #C101",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-585-0507",
"fax_number": "425-948-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "TRACEY",
"middle_name": "ALAYNE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH0034253",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.