Individual provider Active NPI

Tracy Fitz, L.AC., MSTOM

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1356452130
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001355-1 Issued in NY
Practice address
531A 6TH Ave
Parlor Floor
Brooklyn, NY 11215-4908
Phone
(347) 531-2320
Fax
(718) 768-8161
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001355-1 NY Primary
Acupuncturist 171100000X 091-0000077 VT
Acupuncturist 171100000X 629 CO
Acupuncturist 171100000X AP1754 FL

Addresses

Primary practice location

531A 6TH Ave
Parlor Floor
Brooklyn, NY 11215-4908

Mailing address

531A 6TH Ave
Parlor Floor
Brooklyn, NY 11215-4908
Phone (347) 531-2320

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
AP1754FLMDAcupuncturist
091-0000077VTMDAcupuncturist
001355-1NYMDPhysical Therapy Assistant
629COMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1356452130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531A 6TH AVE",
            "address_2": "PARLOR FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154908",
            "telephone_number": "347-531-2320",
            "fax_number": "718-768-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531A 6TH AVE",
            "address_2": "PARLOR FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154908",
            "telephone_number": "347-531-2320",
            "fax_number": "718-768-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "L.AC., MSTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001355-1",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091-0000077",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "629",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.