Active NPI
Tracy Lynn Klein, AUD, CCC-A
- Audiologist
- Flagstaff, AZ
National Provider Identifier
1528898236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA7005
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DA7005 | AZ | MD | Audiologist |
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.