Active NPI
Tracy Pickett
- Developmental Therapist
- Mt Washington, KY
National Provider Identifier
1588134654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 330 Hope St
Mt Washington, KY 40047-7757 - Phone
- (502) 538-1200
- NPI assigned
- Nov 30, 2018
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
330 Hope St
Mt Washington, KY 40047-7757
Mailing address
330 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1200
Other practice location 1
4835 Poplar Level Rd Ste 110
Louisville, KY 40213-2906
Phone (855) 591-0092
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1588134654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 HOPE ST",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400477757",
"telephone_number": "502-538-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 HOPE ST",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400477757",
"telephone_number": "502-538-1200"
}
],
"practiceLocations": [
{
"address_1": "4835 Poplar Level Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402132906",
"country_code": "US",
"telephone_number": "855-591-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKETT",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Washington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.