Virginia Marguerite Tracy, NC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NC912005 Issued in CA

Practice address

526 Wood Duck Dr
Suisun City, CA 94585-2132

Phone

(707) 718-4718

NPI assigned

Nov 14, 2008

Last updated

Nov 14, 2008By the provider in NPPES

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

Other names 1

• Ginger Marguerite Tracy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1861646911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 WOOD DUCK DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852132",
            "telephone_number": "707-718-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 WOOD DUCK DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852132",
            "telephone_number": "707-718-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "VIRGINIA",
        "middle_name": "MARGUERITE",
        "credential": "NC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "NC912005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "TRACY",
            "middle_name": "MARGUERITE",
            "credential": "NC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nutritionist in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.