Tracey G Green, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

203406 Issued in MA

Practice address

70 Atlantic Ave
Marblehead, MA 01945-3042

Phone

(781) 639-5141

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467520361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BUENA VISTA RD",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451327",
            "telephone_number": "781-639-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ATLANTIC AVE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453042",
            "telephone_number": "781-639-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRACEY",
        "middle_name": "G",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "203406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Gold, L.M.H.C.
• Rachelle L Goldberg, LMFT
• Matthew Robert Goodnow, PSY.D, HSP
• Jill A. Grace Hersch, L.C.S.W.
• Stephanie Karahalis Green, M.D.
• Amy N Greene, LICSW
• Group One Smiles PLLC
• Linda Guy
• Susan Mae Hamel, N.P.
• Amanda Tripp Hayes, PSY.D

• Acupuncturist in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.