Active NPI
Tracey Plowman
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1386184018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1243540217
- Practice address
- 2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253 - Phone
- (916) 922-9217
- Fax
- (916) 921-1128
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1243540217 | CA | Primary |
Addresses
Primary practice location
2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253
Mailing address
2143 Hurley Way
Suite 250
Sacramento, CA 95825-3253
Phone (916) 922-9217
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1243540217 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Council on Alcoholism & Drug Dependence,Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1962664581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1386184018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2143 HURLEY WAY",
"address_2": "SUITE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958253253",
"telephone_number": "916-922-9217",
"fax_number": "916-921-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 HURLEY WAY",
"address_2": "SUITE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958253253",
"telephone_number": "916-922-9217",
"fax_number": "916-921-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOWMAN",
"first_name": "TRACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1243540217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.