Individual provider Active NPI

Tracy Ann Lazorick

  • Homemaker
  • Fairmont, WV
National Provider Identifier
1588514699
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
503 Morgantown Ave Ste 120
Fairmont, WV 26554-4384
Phone
(304) 363-7375
Fax
(304) 471-2488
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

Primary practice location

503 Morgantown Ave Ste 120
Fairmont, WV 26554-4384

Mailing address

703 Burt St
Mannington, WV 26582-1207
Phone (681) 332-0378

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": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1588514699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BURT ST",
            "city": "MANNINGTON",
            "state": "WV",
            "postal_code": "265821207",
            "telephone_number": "681-332-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MORGANTOWN AVE STE 120",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544384",
            "telephone_number": "304-363-7375",
            "fax_number": "304-471-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZORICK",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.