Active NPI
Tracey K Reed
- Family Nurse Practitioner
- Carson, CA
National Provider Identifier
1407299852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22973
- Practice address
- 1477 E Bach St
Carson, CA 90745-2415 - Phone
- (310) 987-5328
- Fax
- (424) 264-5292
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22973 | CA | Primary |
Addresses
Primary practice location
1477 E Bach St
Carson, CA 90745-2415
Mailing address
1477 E Bach St
Carson, CA 90745-2415
Phone (310) 987-5328
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1407299852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 E BACH ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452415",
"telephone_number": "310-987-5328",
"fax_number": "424-264-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 E BACH ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452415",
"telephone_number": "310-987-5328",
"fax_number": "424-264-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "TRACEY",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.