Tracy L Hargens

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

00748 Issued in IA

Practice address

8031 W Center Rd
Suite #225
Omaha, NE 68124-3158

Phone

(402) 391-5002

NPI assigned

Aug 8, 2010

Last updated

Aug 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281225600000",
    "number": "1679888259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54254 ELROD RD",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515346415",
            "telephone_number": "712-527-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD",
            "address_2": "SUITE #225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243158",
            "telephone_number": "402-391-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGENS",
        "first_name": "TRACY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "00748",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hardy
• Etolia Hare
• Mark Joseph Hare, MD
• Rebecca Lynn Hargens
• Savannah Hargens
• Gracie Hargis
• Patrick Hargis
• Keegan Anthony Harkins, M.D.
• Keirstin Harkleroad
• Ryder Harkleroad

• Occupational Therapy Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Occupational Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; 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.