Organization Active NPI

Tracy D Adams

  • Prosthetic/Orthotic Supplier
  • Lawrenceburg, TN
National Provider Identifier
1609457662
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TRACY D ADAMS
Doing business as
Trinity Orthotics & Prosthetics
Practice address
1290 1St Ave
Lawrenceburg, TN 38464-2762
Phone
(931) 244-7558
Fax
(931) 244-7560
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Tracy D Adams
Title
Owner
Phone
(931) 244-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1290 1St Ave
Lawrenceburg, TN 38464-2762

Mailing address

2905 Bob Wallace Ave SE Suite B
Huntsville, AL 35805
Phone (256) 203-2647

Other identifiers 2

IdentifierTypeStateIssuer
14408701OtherCAQH
228420MedicaidAL

Other names 1

  • Trinity Orthotics & Prosthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Huntsville Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1609457662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BOB WALLACE AVE SE SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-203-2647",
            "fax_number": "256-964-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 1ST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642762",
            "telephone_number": "931-244-7558",
            "fax_number": "931-244-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY D ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-244-7558"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14408701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228420",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Huntsville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1290 1st Ave",
            "city": "Lawrenceburg",
            "state": "TN",
            "country_code": "US",
            "postal_code": "384642762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.