Individual provider Active NPI

Tracy Onna Stclair

  • Home Health Aide
  • Massillon, OH
National Provider Identifier
1922210368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2634126 Issued in OH
Practice address
831 Hemlock St NW
Massillon, OH 44647-8817
Phone
(330) 833-7706
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2634126 OH Primary

Addresses

Primary practice location

831 Hemlock St NW
Massillon, OH 44647-8817

Mailing address

831 Hemlock St NW
Massillon, OH 44647-8817
Phone (330) 833-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2634126OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922210368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 HEMLOCK ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446478817",
            "telephone_number": "330-833-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 HEMLOCK ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446478817",
            "telephone_number": "330-833-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STCLAIR",
        "first_name": "TRACY",
        "middle_name": "ONNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2634126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • 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.