Tracy Casault, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

45638 Issued in CO

Practice address

119 Ucb
Boulder, CO 80309-0119

Phone

(303) 492-5101

NPI assigned

Jan 26, 2007

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1508912197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 UCB",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-492-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UCB",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-492-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAULT",
        "first_name": "TRACY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "45638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin E Cartledge, PA-C
• Cary Gold Physical Therapy Inc
• Annemarie Carzoli, MA, LPC
• Casa Futura Technologies
• Lauren M Casalino, M.A., L.P.C.
• Alexis Cascino, NP
• Bruce Douglas Casey, PH. D.
• Megan Marie Casey, MS, CACIII
• Sarah Casey
• Susan Caso

• Sports Medicine (Family Medicine) Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Sports Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.