NPIMap

Individual provider Active NPI

Tracy J West, DO

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1790762185
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4236 Issued in AZ
Practice address
649 S 30TH Cir
Mesa, AZ 85204-3119
Phone
(480) 227-5514
Fax
(480) 502-2430
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4236 AZ
Family Medicine Physician 207Q00000X 4236 AZ Primary
General Practice Physician 208D00000X 4236 AZ

Addresses

Primary practice location

649 S 30TH Cir
Mesa, AZ 85204-3119

Mailing address

649 S 30TH Cir
Mesa, AZ 85204-3119
Phone (480) 227-5514

Other identifiers 3

IdentifierTypeStateIssuer
118140OtherAZPTAN
118139OtherAZGROUP PTAN
1245423524OtherAZGROUP NPI

Other names 1

  • Dr. Tracy Jean Barnett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323000462 NC Order and Referring Only - Family PracticePractitioner - Family Practice 3779562731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4239AZMDPhysical Therapist
3553OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
White Mountain Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1790762185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S 30TH CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043119",
            "telephone_number": "480-227-5514",
            "fax_number": "480-502-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S 30TH CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043119",
            "telephone_number": "480-227-5514",
            "fax_number": "480-502-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "TRACY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4236",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "4236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "118140",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "118139",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1245423524",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BARNETT",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.