Myrtis Jean Tracy, M.S.,R.D

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00386576 Issued in CA

Practice address

2149 Thoreau St
Los Angeles, CA 90047-4730

Phone

(323) 779-3444

Fax

(323) 779-0880

NPI assigned

Jun 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588869390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474730",
            "telephone_number": "323-779-3444",
            "fax_number": "323-779-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474730",
            "telephone_number": "323-779-3444",
            "fax_number": "323-779-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "MYRTIS",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "M.S.,R.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "00386576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Trachtenberg, LCSW
• Ethyl C Trachtman
• Tracy Chang MD Inc
• Tracy Tran Physical Therapy
• Micaela M Tracy, RN
• Nancy Jo Tracy, SLP
• Robert A Tracy, DO
• Shannon Tracy
• David W Trader, M.D.
• Traditional Chinese Medicine Healing Center (TCM Healing Center)

• Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.