Active NPI
Tracy Hoover, AUD
- Audiologist
- Usaf Academy, CO
National Provider Identifier
1619359098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02063
- Practice address
- 4102 Pinion Dr
Usaf Academy, CO 80840-2502 - Phone
- (719) 524-2273
- NPI assigned
- Jun 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60573251 | WA | |
| Audiologist | 231H00000X | A.02063 | OH | Primary |
Addresses
Primary practice location
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Mailing address
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Other practice location 1
217 W Cataldo Ave
Spokane, WA 99201-2217
Phone (509) 624-2326
Other practice location 2
8371 Yankee St
Centerville, OH 45458
Phone (937) 312-9368
Other practice location 3
1100 Wilford Hall Loop Bldg 4554
Lackland AFB, TX 78236
Phone (210) 229-6225
Other practice location 4
1100 Wilford Hall Loop Bldg 4554
Lackland AFB, TX 78236
Phone (210) 229-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047357 | Medicaid | WA |
Other names 1
- Tracy Weisbrod
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.02063 | OH | MD | Audiologist |
| LD60573251 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1619359098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "719-524-2273"
}
],
"practiceLocations": [
{
"address_1": "217 W Cataldo Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992012217",
"country_code": "US",
"telephone_number": "509-624-2326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8371 Yankee St",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "45458",
"country_code": "US",
"telephone_number": "937-312-9368",
"fax_number": "937-312-9369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Lackland AFB",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-229-6225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Lackland AFB",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-229-6225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOVER",
"first_name": "TRACY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60573251",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047357",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "WEISBROD",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.