Active NPI
Tracey White
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1760185680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3300 Pennsylvania Ave SE
Washington, DC 20020-2408 - Phone
- (202) 878-6626
- NPI assigned
- Mar 22, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Mailing address
10108 Astill CT
Waldorf, MD 20603-3773
Phone (240) 346-6843
Other practice location 1
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Other practice location 2
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Other practice location 3
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Other practice location 4
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1760185680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10108 ASTILL CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206033773",
"telephone_number": "240-346-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200202408",
"telephone_number": "202-878-6626"
}
],
"practiceLocations": [
{
"address_1": "3300 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200202408",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200202408",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200202408",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200202408",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TRACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.