1013984632 NPI number — MRS. TRACI M RING MS CCC A

Table of content: MRS. TRACI M RING MS CCC A (NPI 1013984632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013984632 NPI number — MRS. TRACI M RING MS CCC A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RING
Provider First Name:
TRACI
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS CCC A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HALSNE
Provider Other First Name:
TRACI
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS CCC A
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1013984632
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
63 SHORE RD STE 32
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINCHESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01890-2859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-218-2225
Provider Business Mailing Address Fax Number:
781-218-2226

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
63 SHORE RD STE 32
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINCHESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01890-2859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-218-2225
Provider Business Practice Location Address Fax Number:
781-218-2226
Provider Enumeration Date:
03/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  1121 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231H00000X , with the licence number: 1935 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 29268011 . This is a "BCBS OF KANSAS CITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7666210 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100398780A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 481106646 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P31670 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1121 . This is a "HEARING AID DISPENSING LI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 640004508 . This is a "TRAVELERS MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com