Active NPI
Tracey Hamrick, CRT
- Certified Respiratory Therapist
- Russellville, AR
National Provider Identifier
1992945265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 730
- Practice address
- 412 E 14TH St
Russellville, AR 72801-6818 - Phone
- (918) 567-7000
- Fax
- (918) 567-7113
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 730 | AR | Primary |
Addresses
Primary practice location
412 E 14TH St
Russellville, AR 72801-6818
Mailing address
1 Choctaw Way
Talihina, OK 74571-2022
Phone (918) 567-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 730 | AR | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1992945265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHOCTAW WAY",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745712022",
"telephone_number": "918-567-7000",
"fax_number": "918-567-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E 14TH ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728016818",
"telephone_number": "918-567-7000",
"fax_number": "918-567-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMRICK",
"first_name": "TRACEY",
"credential": "CRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "AR",
"license": "730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.