Active NPI
Dr Tracis House
- Community Health Clinic/Center
- Tampa, FL
National Provider Identifier
1417834110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- DR TRACIS HOUSE
- Practice address
- 904 E Henry Ave
Tampa, FL 33604-7143 - Phone
- (813) 510-5105
- NPI assigned
- Aug 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Lynn Thompson
- Title
- Ceo
- Phone
- (813) 510-5105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
904 E Henry Ave
Tampa, FL 33604-7143
Mailing address
904 E Henry Ave
Tampa, FL 33604-7143
Phone (813) 510-5105
Other names 1
- Doctor Tracis House
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1740351782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1417834110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E HENRY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336047143",
"telephone_number": "813-510-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E HENRY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336047143",
"telephone_number": "813-510-5105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR TRACIS HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-18",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-510-5105"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctor Tracis House",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.