Individual provider Active NPI

Tracey Bowman Traywick, L.M.F.T.

  • Marriage & Family Therapist
  • Wilson, NC
National Provider Identifier
1306023080
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1215 Issued in NC
Practice address
106 Vance St E
Wilson, NC 27893-4034
Phone
(252) 291-2344
Fax
(252) 291-1436
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1215 NC Primary

Addresses

Primary practice location

106 Vance St E
Wilson, NC 27893-4034

Mailing address

106 Vance St E
PO Box 1426
Wilson, NC 27893-4034
Phone (252) 291-2344

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
1215NCMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1306023080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VANCE ST E",
            "address_2": "PO BOX 1426",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934034",
            "telephone_number": "252-291-2344",
            "fax_number": "252-291-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VANCE ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934034",
            "telephone_number": "252-291-2344",
            "fax_number": "252-291-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYWICK",
        "first_name": "TRACEY",
        "middle_name": "BOWMAN",
        "name_prefix": "Mrs.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.