Tracy N Petrocelli

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

8505 Technology Forest PL
#1002
The Woodlands, TX 77381-1000

Phone

(936) 701-0899

Fax

(936) 417-1011

NPI assigned

Dec 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Concierge Sleep Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • The Woodlands, TX
  • NPI 1194231225
  NPD (past) Authorized official

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1336683275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 TECHNOLOGY FOREST PL",
            "address_2": "#1002",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811000",
            "telephone_number": "936-701-0899",
            "fax_number": "936-417-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 TECHNOLOGY FOREST PL",
            "address_2": "#1002",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811000",
            "telephone_number": "936-701-0899",
            "fax_number": "936-417-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROCELLI",
        "first_name": "TRACY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Lee Peterson, PHYSICAL THERAPIST
• Shelly Anne Peterson, LCSW
• Isabella Pethe, APRN-CNP
• Samantha R. Petillon, PT, DPT
• Kimberly B Petrie, M.S. CCC-SLP
• Haley Pettigrew, MS, LMFT, LCDC
• Kelly Christina Petty, SLP
• Tawnya Alayna Pham, OD
• Tuyet Pham, PHARM. D.
• Vicky T Pham, O.D.

• Durable Medical Equipment & Medical Supplies in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.