Individual provider Active NPI

Tracey Marie Whitney, LAC, HHP, LMT

  • Acupuncturist
  • Poway, CA
National Provider Identifier
1831424704
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18066 Issued in CA
Practice address
15644 Pomerado Rd Ste 102
Poway, CA 92064
Phone
(588) 692-5221
Fax
(858) 613-0794
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 18066 CA Primary

Addresses

Primary practice location

15644 Pomerado Rd Ste 102
Poway, CA 92064

Mailing address

15644 Pomerado Rd Ste 102
Poway, CA 92064-2419
Phone (588) 692-5221

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
18066CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1831424704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642419",
            "telephone_number": "588-692-5221",
            "fax_number": "858-613-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "588-692-5221",
            "fax_number": "858-613-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "TRACEY",
        "middle_name": "MARIE",
        "credential": "LAC, HHP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.