Individual provider Active NPI

Tracy L. Blair, M.S, CCC-A

  • Audiologist
  • Chestnut Hill, MA
National Provider Identifier
1508992405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
846 Issued in MA
Practice address
1244 Boylston St
Suite 303
Chestnut Hill, MA 02467-2116
Phone
(617) 383-6830
Fax
(617) 383-6801
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 846 MA Primary

Addresses

Primary practice location

1244 Boylston St
Suite 303
Chestnut Hill, MA 02467-2116

Mailing address

1244 Boylston St
Suite 303
Chestnut Hill, MA 02467-2116
Phone (617) 383-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000064 MA Practitioner - Qualified Audiologist 3779686282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 395-7694

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Jan 1, 2022 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Hillcrest Family Health Center Past Accepting new patients
Vernick & Gopal,LLC PastSince Mar 1, 2004 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

510 North St
Ste 10
Pittsfield, MA 01201
Phone (413) 448-8291

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508992405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 303",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-383-6830",
            "fax_number": "617-383-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST",
            "address_2": "SUITE 303",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672116",
            "telephone_number": "617-383-6830",
            "fax_number": "617-383-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "TRACY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.S, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.