Active NPI
Tracy Lynne Stortz, M.S.E.D.
- Specialist
- Depew, NY
National Provider Identifier
1508117821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1190019
- Practice address
- 60 J F K LN
Depew, NY 14043-1827 - Phone
- (585) 344-4404
- NPI assigned
- Sep 26, 2012
- Last updated
- Sep 26, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1190019 | NY | Primary |
Addresses
Primary practice location
60 J F K LN
Depew, NY 14043-1827
Mailing address
60 J F K LN
Depew, NY 14043-1827
Phone (585) 344-4404
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 |
|---|---|---|---|
| 1190019 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1508117821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 J F K LN",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431827",
"telephone_number": "585-344-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 J F K LN",
"city": "DEPEW",
"state": "NY",
"postal_code": "140431827",
"telephone_number": "585-344-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORTZ",
"first_name": "TRACY",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "M.S.E.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1190019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
- State of New York Comptrollers Office
- Robin Steiner, BS IN EDUCATION
- Jennifer N Steltermann
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- Kairi Stockwell, PHARMD
- Lauren Stotz, RPH
- Strands of Accelerated Reading S.O.a.R. Tutoring Company LLC
- Jamie Flavia Streicher, D.O.
- Warren Edward Stresing, D.D.S.
- Miles Dustin Sumner, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.