Active NPI
Traci Jean Hughes, RAS
- Case Manager/Care Coordinator
- Auburn, CA
National Provider Identifier
1477708097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- H0005301352
- Practice address
- 11960 Heritage Oak PL
15
Auburn, CA 95603-2401 - Phone
- (530) 885-1961
- Fax
- (530) 885-0713
- NPI assigned
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | H0005301352 | CA | Primary |
Addresses
Primary practice location
11960 Heritage Oak PL
15
Auburn, CA 95603-2401
Mailing address
13009 Greenhorn Rd
Grass Valley, CA 95945-8479
Phone (530) 885-1961
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 |
|---|---|---|---|
| H0005301352 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1477708097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13009 GREENHORN RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959458479",
"telephone_number": "530-885-1961",
"fax_number": "530-885-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 HERITAGE OAK PL",
"address_2": "15",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032401",
"telephone_number": "530-885-1961",
"fax_number": "530-885-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "TRACI",
"middle_name": "JEAN",
"credential": "RAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "H0005301352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.