Tracie Lynn Doyle

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

476882 Issued in NY

Practice address

2 E Park Row
Clinton, NY 13323-1544

Phone

(315) 853-6090

NPI assigned

May 7, 2014

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

State licenses

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1932519352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137331214",
            "telephone_number": "607-316-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E PARK ROW",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231544",
            "telephone_number": "315-853-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "476882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Diviccaro, M.S.
• Amanda Leigh Dolic
• Jessica June Donahue
• Megan M Donlon
• Jennifer L Douglas
• Dr. Peter Z. Previte, D.C.
• Laurie Anne Ducharme
• Susan Ann Duckett
• Christine A Dunn, NP-C
• Haylee Dussault, MPH, RD

• Early Intervention Provider Agency in Clinton, NY
• Providers in Clinton, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.