Tracie Roulhac Bass

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1160 Mohawk St Apt 1
Jacksonville, FL 32205-0905

Phone

(904) 444-5214

NPI assigned

Feb 18, 2019

Last updated

Feb 18, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1861958548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MOHAWK ST APT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050905",
            "telephone_number": "904-444-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 MOHAWK ST APT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050905",
            "telephone_number": "904-444-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "TRACIE",
        "middle_name": "ROULHAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Bass, OTD, OTR/L, CHT, CLT
• Samantha Bass, LMT
• Sasha Anitra Bass, MS, RMHCI
• Teneisha Bass
• Theodore A Bass, M.D.
• Bassel Ramadan MD PA
• Allison Marie Bassett, PHARMD
• Quinn Steven Bastian, PH.D.
• Gabriela Bastidas Mora, MD
• Sunetra Basu Ghosh

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.