Active NPI
Tracy Shin Peck Holcomb
- Audiologist-Hearing Aid Fitter
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU 2635
- Practice address
- 1234 Divisadero St
San Francisco, CA 94115-3911 - Phone
- (415) 921-7658
- Fax
- (415) 921-2243
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU 2635 | CA | Primary |
Addresses
Primary practice location
1234 Divisadero St
San Francisco, CA 94115-3911
Mailing address
45 San Clemente Dr Ste D140
Corte Madera, CA 94925-1210
Phone (415) 927-1567
Other names 1
- Tracy Shin Peck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 San Clemente Dr
Suite D140
Corte Madera, CA 94925-1210
Phone (415) 927-1567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 2635 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron Audiology, Inc. | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Locations
45 San Clemente Dr
Ste D14
Corte Madera, CA 94925
45 San Clemente Dr
Ste D140
Corte Madera, CA 94925
Phone (415) 381-1567
1515 Scott St
#2
San Francisco, CA 94115
Phone (415) 346-6886
Organizations & group practices 1
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.
-
- Audiologist
- Corte Madera, CA
- NPI 1841268828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1881894368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DR STE D140",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251210",
"telephone_number": "415-927-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153911",
"telephone_number": "415-921-7658",
"fax_number": "415-921-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK HOLCOMB",
"first_name": "TRACY",
"middle_name": "SHIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU 2635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "PECK",
"middle_name": "SHIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.