Tracie Line Detwiler, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

83095 Issued in CO

Practice address

1024 Central Park Dr
Steamboat Springs, CO 80487-8813

Phone

(970) 871-2418

Fax

(970) 871-2480

NPI assigned

Jul 28, 2006

Last updated

Jul 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1295177426
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1619981347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTRAL PARK DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878813",
            "telephone_number": "970-871-2418",
            "fax_number": "970-871-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTRAL PARK DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878813",
            "telephone_number": "970-871-2418",
            "fax_number": "970-871-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "TRACIE",
        "middle_name": "LINE",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "83095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torrey Flynn Demoss, PNP
• Keri Lynn Dennison, DC
• Dental Center of Steamboat Springs, PLLC
• Denver Recovery Group LLC
• Dermatology Center of Steamboat Springs, LLC a Professional LLC
• Jessica K Devin, MD
• Holly Christine Dickhausen, LMT
• Barbara Ann Diehl
• Steven W. Diehl, DDS, PC
• Michael Dieter, PTA

• Neonatal Nurse Practitioner in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Neonatal Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.