Tracy M Sidibe

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

25-018623-1 Issued in IN

Practice address

5230 Alameda Rd
Indianapolis, IN 46228-2092

Phone

(317) 625-3515

NPI assigned

Apr 25, 2025

Last updated

Apr 25, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Obstacles of Life LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1265220735
  NPD Authorized official

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1669260139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 ALAMEDA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282092",
            "telephone_number": "317-625-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 ALAMEDA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282092",
            "telephone_number": "317-625-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIBE",
        "first_name": "TRACY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "25-018623-1",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "25-018623-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ahsan Siddiqui
• Daniel Alfred Sidhom, DO
• Shauna Kay Sidhom, NP
• Angad Sidhu
• Parampreet Sidhu, PA-C
• Zaharaou Sadou Sidikou
• John E Sidle, MD
• Nicole Sidron Rodriguez
• April Nicole Siebenburgen
• Jon Mark Sieber, MD

• Home Health Aide in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Aide in Indiana

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

Verify at the official NPI Registry.