Individual provider Active NPI

Tracey E Giambrone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reno, NV
National Provider Identifier
1861413445
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2060 Issued in NV
Practice address
3400 Kauai CT
Suite #103
Reno, NV 89509-4850
Phone
(775) 786-5333
Fax
(775) 786-5333
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2060 NV Primary

Addresses

Primary practice location

3400 Kauai CT
Suite #103
Reno, NV 89509-4850

Mailing address

PO Box 8173
Reno, NV 89507-8173
Phone (775) 786-5333

Other identifiers 1

IdentifierTypeStateIssuer
002116016MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 10, 2019 through Oct 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2060NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Regional Medical Center Past Accepting new patients
Elite Sports Medicine LLC Foot & Ankle Surgery PastSince May 20, 2008 Accepting new patients
Raymond Roberts, DPM, LTD Foot & Ankle Surgery Past Accepting new patients

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1861413445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8173",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895078173",
            "telephone_number": "775-786-5333",
            "fax_number": "775-786-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 KAUAI CT",
            "address_2": "SUITE #103",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094850",
            "telephone_number": "775-786-5333",
            "fax_number": "775-786-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBRONE",
        "first_name": "TRACEY",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002116016",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.