Tracy Elizabeth Ayers

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

BOC243906 Issued in CA

Practice address

11435 Venice Blvd
Los Angeles, CA 90066-4028

Phone

(310) 869-5842

NPI assigned

Mar 7, 2018

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

Other identifiers 1

Other names 1

• Tracy Elizabeth Metrailer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1568964369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664028",
            "telephone_number": "310-869-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664028",
            "telephone_number": "310-869-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "BOC243906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATON",
            "identifier": "BOC243906",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "METRAILER",
            "middle_name": "ELIZABETH",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yee Yee Aye
• Berhanu W Ayele
• Anuoluwa Ayotomiwa Ayeni
• Celia Elise Ayers
• Jesse Ayers, COTA
• Ayk Eye Group Inc
• Fatin Anwar Aylia, MD
• Vivienne Aghogho Ayomanor, NP
• Alyssa Ayon, MSW
• Dianne Ayon

• Athletic Trainer in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.