Individual provider Active NPI

Traci Rae Aldridge, WHNP/FNP

  • Women's Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1750468138
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP2549 Issued in AZ
Practice address
7219 N Litchfield Rd
Glendale, AZ 85309-1529
Phone
(623) 856-9604
NPI assigned
Nov 1, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X TAP2549 AZ
Women's Health Nurse Practitioner 363LW0102X AP2549 AZ Primary

Addresses

Primary practice location

7219 N Litchfield Rd
Glendale, AZ 85309-1529

Mailing address

10475 N Grayhawk Drive
Number 2169
Scottsdale, AZ 85255
Phone (623) 856-9604

Other identifiers 1

IdentifierTypeStateIssuer
TAP2549OtherAZONE YEAR WHNP LICENSURE

Other names 1

  • Traci Innes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000469 AZ Practitioner - Nurse Practitioner 4789782095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2549AZMDWomen's Health Nurse Practitioner
TAP2549AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hetal C. Shah, M.D., P.C. CurrentSince Jul 23, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Camelback Womens Health, PC PastSince Sep 15, 2000 Accepting new patients
Genesis OB GYN PLLC PastSince Aug 17, 2023 Accepting new patients

Locations

18699 N 67th Ave
Ste 210
Glendale, AZ 85308
Phone (623) 875-1448

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

4700 N 51st Ave
Ste 5
Phoenix, AZ 85031
Phone (623) 846-7558

9755 N 90th St
Scottsdale, AZ 85258
Phone (480) 646-4511

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1750468138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 N GRAYHAWK DRIVE",
            "address_2": "NUMBER 2169",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "623-856-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "TRACI",
        "middle_name": "RAE",
        "credential": "WHNP/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "TAP2549",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP2549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE YEAR WHNP LICENSURE",
            "identifier": "TAP2549",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "INNES",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.