Active NPI
Tracy Caren Wright, MS
- Counselor
- Fruitland Park, FL
National Provider Identifier
1700112281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMH7672
- Practice address
- 34316 Black Bass Cir
Fruitland Park, FL 34731-6304 - Phone
- (352) 326-8096
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMH7672 | FL | Primary |
Addresses
Primary practice location
34316 Black Bass Cir
Fruitland Park, FL 34731-6304
Mailing address
34316 Black Bass Cir
Fruitland Park, FL 34731-6304
Phone (352) 326-8096
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH7672 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1700112281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34316 BLACK BASS CIR",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347316304",
"telephone_number": "352-326-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34316 BLACK BASS CIR",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347316304",
"telephone_number": "352-326-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TRACY",
"middle_name": "CAREN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMH7672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.