Active NPI
Tracy L Forrester, MS, CCC-A
- Audiologist
- Worcester, MA
National Provider Identifier
1326016973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 703
- Practice address
- 475 Pleasant St
Worcester, MA 01609-1858 - Phone
- (508) 791-6310
- Fax
- (508) 791-6309
- NPI assigned
- Mar 9, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 703 | MA | Primary |
| Assistive Technology Supplier Audiologist | 231HA2500X | 703 | MA |
Addresses
Primary practice location
475 Pleasant St
Worcester, MA 01609-1858
Mailing address
50 Eagle Dr
Dudley, MA 01571-6025
Phone (508) 949-6810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD0058 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000462 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlton Family Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Charlton, MA
- NPI 1285620609
-
- Family Medicine Physician
- Charlton, MA
- NPI 1447321385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1326016973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 EAGLE DR",
"city": "DUDLEY",
"state": "MA",
"postal_code": "015716025",
"telephone_number": "508-949-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091858",
"telephone_number": "508-791-6310",
"fax_number": "508-791-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "TRACY",
"middle_name": "L",
"credential": "MS, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "703",
"primary": true
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "MA",
"license": "703",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AD0058",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.