Active NPI
Tracy D Adams
- Prosthetic/Orthotic Supplier
- Lawrenceburg, TN
National Provider Identifier
1609457662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14408701 | Other | CAQH | |
| 228420 | Medicaid | AL |
Other names 1
- Trinity Orthotics & Prosthetics
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Huntsville | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI 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.