Active NPI
Eileen C Tracy
- Durable Medical Equipment & Medical Supplies
- Centerville, OH
National Provider Identifier
1851479828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 6310 Far Hills Ave
Centerville, OH 45459-2724 - Phone
- (937) 291-0010
- Fax
- (937) 291-9276
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6310 Far Hills Ave
Centerville, OH 45459-2724
Mailing address
6310 Far Hills Ave
Centerville, OH 45459-2724
Phone (937) 291-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0626531 | Medicaid | OH | |
| 000000016562 | Other | ANTHEM BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertas a Natural Look LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| Albertas a Natural Look LLC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Centerville, OH
- NPI 1023455433
-
- Durable Medical Equipment & Medical Supplies
- Centerville, OH
- NPI 1992764823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1851479828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 FAR HILLS AVE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592724",
"telephone_number": "937-291-0010",
"fax_number": "937-291-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 FAR HILLS AVE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592724",
"telephone_number": "937-291-0010",
"fax_number": "937-291-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "EILEEN",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0626531",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000016562",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.