Individual provider Active NPI

Traci Tauferner, LAT

  • Athletic Trainer
  • Stevens Point, WI
National Provider Identifier
1770908329
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
950-039 Issued in WI
Practice address
5412 US Highway 10 E
Stevens Point, WI 54482-8559
Phone
(715) 346-5423
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 950-039 WI Primary

Addresses

Primary practice location

5412 US Highway 10 E
Stevens Point, WI 54482-8559

Mailing address

5412 US Highway 10 E
Stevens Point, WI 54482-8559
Phone (715) 346-5423

Other identifiers 1

IdentifierTypeStateIssuer
950-39OtherWIWI STATE LICENSE

Other names 1

  • Traci Smet Former name

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

State licenses

LicenseStateTypeSpecialty
950-039WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1770908329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 US HIGHWAY 10 E",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828559",
            "telephone_number": "715-346-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 US HIGHWAY 10 E",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828559",
            "telephone_number": "715-346-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUFERNER",
        "first_name": "TRACI",
        "name_prefix": "Ms.",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "950-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE",
            "identifier": "950-39",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "SMET",
            "credential": "LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.