Individual provider Active NPI

Tracy Lee Neily

  • Mastectomy Fitter
  • Cary, NC
National Provider Identifier
1811505068
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Practice address
527 Keisler Dr Ste 104
Cary, NC 27518-9306
Phone
(919) 747-9336
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X NC Primary

Addresses

Primary practice location

527 Keisler Dr Ste 104
Cary, NC 27518-9306

Mailing address

527 Keisler Dr Ste 104
Cary, NC 27518-9306
Phone (919) 747-9336

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1811505068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-747-9336",
            "fax_number": "984-200-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-747-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILY",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.