Tracey Lynne Roat, RSST

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6803086673 Issued in MI

Practice address

2700 W Genesee Ave
Saginaw, MI 48602-3723

Phone

(989) 799-1266

NPI assigned

Dec 21, 2021

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

Other names 1

• Tracey Lynne Westendorf Former name

Electronic endpoints 1

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 and National Provider Directory roles.

• Bayside Lodge

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1679855498
  NPD (past)

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1750041596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ALLENDALE DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486384403",
            "telephone_number": "989-860-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023723",
            "telephone_number": "989-799-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAT",
        "first_name": "TRACEY",
        "middle_name": "LYNNE",
        "credential": "RSST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6803086673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "troat@ttiinc.org",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 W Genesee Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486023723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "WESTENDORF",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Lynn Rix, NP-C
• Angela Rizor
• Adisa Rizvic
• Chelsea Rizzo
• RM Hbot Saginaw PLLC
• Chantrel Robbins
• Latrice Robbins
• Madison Robbins, NP-C
• Renee Lynn Robbins, FNP
• Shatoya Roberson

• Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.