Individual provider Active NPI

Tracy Lynn Klein, AUD, CCC-A

  • Audiologist
  • Flagstaff, AZ
National Provider Identifier
1528898236
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA7005 Issued in AZ
Practice address
2501 N 4TH St Ste 22
Flagstaff, AZ 86004-3701
Phone
(928) 821-1527
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA7005 AZ Primary

Addresses

Primary practice location

2501 N 4TH St Ste 22
Flagstaff, AZ 86004-3701

Mailing address

2501 N 4TH St Ste 22
Flagstaff, AZ 86004-3701
Phone (928) 821-1527

Other practice location 1

7654 N 19th Ave
Phoenix, AZ 85021-7025
Phone (928) 821-1527

Other practice location 2

1200 W Speedway Blvd
Tucson, AZ 85745-2326
Phone (928) 821-1527

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

LicenseStateTypeSpecialty
DA7005AZMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1528898236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 4TH ST STE 22",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043701",
            "telephone_number": "928-821-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 4TH ST STE 22",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043701",
            "telephone_number": "928-821-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7654 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850217025",
            "country_code": "US",
            "telephone_number": "928-821-1527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452326",
            "country_code": "US",
            "telephone_number": "928-821-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA7005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.