Shane Patrick Tracey, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3922969 Issued in OR

Practice address

315 W Broadway Ste 100
Eugene, OR 97401-3081

Phone

(541) 206-2271

Fax

(541) 470-8729

NPI assigned

Apr 30, 2024

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Proactive Health Care LLC

  • Acupuncturist
  • Eugene, OR
  • NPI 1790490035
  NPD Authorized official

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1487401386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 PORTLAND ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974055140",
            "telephone_number": "541-206-2271",
            "fax_number": "541-470-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W BROADWAY STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013081",
            "telephone_number": "541-206-2271",
            "fax_number": "541-470-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OR",
            "license": "A-3922969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Townley
• Donald D Townsend Jr., DMD
• Erica Lynn Mayo Townsend
• Natalie Townsend
• Summer Townsend
• Track Town Pharmacy Inc
• Tracy & Keim Chiropractic,LLC
• Sharell Elaine Tracy, D.C.
• Dennis Wade Trammell, DMD, MSD
• Melinda Elizabeth Trammell

• Health & Wellness Coach in Eugene, OR
• Providers in Eugene, OR by specialty
• Health & Wellness Coach in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.