Tracy Delores Buskirk, CMA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

14815 SE Division St
Portland, OR 97236-2336

Phone

(503) 761-7139

Fax

(503) 761-0042

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

Practice roles

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.

• Serendipity Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
  • NPI 1346244902
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861532624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SE 174TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972369352",
            "telephone_number": "503-661-7576",
            "fax_number": "503-761-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362336",
            "telephone_number": "503-761-7139",
            "fax_number": "503-761-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKIRK",
        "first_name": "TRACY",
        "middle_name": "DELORES",
        "credential": "CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Busi, D.D.S.
• Danielle Busick, LMT
• Joshua Joe Busick
• Amy Busiek
• Kristopher David Buska
• Jason Mark Bussanich, D.C.
• Pascale Bussenius
• Timothy Luke Bussoletti, MBBS
• Cecilia Cardoso Bustamante, RDH
• Rodica Busui, MD, PHD

• Nurse's Aide in Portland, OR
• Providers in Portland, OR by specialty
• Nurse's Aide in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.