Tracy Nichole Gregg, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

158 Issued in AK

Practice address

750 Bison Street
Kotzebue, AK 99752

Phone

(907) 442-7184

Fax

(907) 442-7303

NPI assigned

May 25, 2007

Last updated

Jul 8, 2007By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD (past)
• Maniilaq Association

  • Community/Behavioral Health Agency
  • Kotzebue, AK
  • NPI 1821297276
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942411301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520256",
            "telephone_number": "907-442-7184",
            "fax_number": "907-442-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BISON STREET",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-7184",
            "fax_number": "907-442-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "TRACY",
        "middle_name": "NICHOLE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT5006",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilma Jean Goodwin, R.N.
• Robin Grant, PMHNP
• Tareze Grant
• Belynda M. Gregg
• Sheila Ann Gregg, CHP
• Guardian Flight LLC
• George Nunaraaq Hadley
• Jonny Hadley
• Sophie Hadley, COMMUNITY HEALTH AID
• Haley Rae Halliday

• Registered Dietitian in Kotzebue, AK
• Providers in Kotzebue, AK by specialty
• Registered Dietitian in Alaska

• 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.