Tracey L Fogle

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRACEY L FOGLE

Practice address

7862 N Academy Blvd
Colorado Springs, CO 80920-3920

Phone

(719) 424-7565

Fax

(719) 559-1710

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

Tracey L Fogle, CMFNPI 1508364845

Title

Owner

Phone

(719) 424-7565

Specialties & licenses 2

Addresses

Other names 1

• Tracey's Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey L Fogle

  • Mastectomy Fitter
  • Colorado Springs, CO
  • NPI 1508364845
  NPD Authorized official

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1992350318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203920",
            "telephone_number": "719-424-7565",
            "fax_number": "719-559-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203920",
            "telephone_number": "719-424-7565",
            "fax_number": "719-559-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY L FOGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-424-7565",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracey's Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Townsend, MOT, OTR/L
• Lisa Townsend, PSY.D
• Reagan Townsend
• Susan F. Townsend, M.D.
• Nicole Elizabeth Traceski, LMT
• Blake Trachta
• Tracie a Nicoll PHD
• Tracy J. Kinsley, Ms, LPC, Caciii, LLC
• Tracy Rosen Therapy
• Tracy Wells, OD PC

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.