TRACEY D KING (NPI# 1033567391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033567391 |
| Entity Type | Individual |
| Full Name | TRACEY D KING |
| Practice Address |
774 Albany St Boston MA 02118-2520 |
| Mailing Address |
1010 Massachusetts Ave Boston MA 02118-2600 |
| Practice Telephone | 6175346171 |
| Practice Fax Number | 8572882240 |
| Mailing Telephone | 6174193408 |
| Mailing Fax Number | 6175342611 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164055125 | Tracey King | Dental Assistant | 12617 Waldorf Dr, Lynwood, CA 90262-5233 | 2020-02-18 |
| 1174008254 | Tracey Colleen King | Social Worker | 92 Pleasant St, Northborough, MA 01532-1842 | 2018-09-25 |
| 1528590759 | Tracey King | Occupational Therapist | 50 Craggenmore Rd, Pittsboro, NC 27312 | 2017-03-28 |
| 1669805917 | Tracey King | Licensed Practical Nurse | 80 Wilson Ave, Medford, NY 11763-1095 | 2013-08-09 |
| 1093084048 | Tracey A King | Licensed Practical Nurse | 38 S 31st St, Wyandanch, NY 11798-3604 | 2011-12-21 |
| 1962725879 | Tracey Lynette King | Physical Therapist | 3790 Via De La Valle, Suite 205 and 206, Del Mar, CA 92014-4247 | 2010-03-05 |
| Street Address |
774 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431492 | Boston Public Health Commission | Public Health or Welfare | 774 Albany St, Boston, MA 02118-2520 | 2006-07-18 |
| 1073112850 | David E Mattei | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2551 | 2020-10-22 |
| 1679180830 | Rachel E Holmes | Social Worker | 774 Albany St, Boston, MA 02118-3551 | 2020-09-30 |
| 1760001499 | Denise Renee Haskins | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-3551 | 2020-04-13 |
| 1346888203 | Charles Chidiebere Akwari | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2600 | 2019-12-11 |
| 1235770264 | Sarah M Hagan | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1457992489 | Rachel A Gliniecki | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1780246850 | Meghan Elizabeth Johnson | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-06-28 |
| 1679130678 | Jessica A Nieuwenhuizen | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-05-24 |
| 1255803896 | Nnamdi Udemagwuna | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1821635921 | Michael David Meyers | Counselor | 9 Notre Dame St, Boston, MA 02119-1230 | 2019-12-08 |
| 1831667260 | Melinda Baker | Counselor | 50 Congress St Ste 430, Boston, MA 02109-4055 | 2018-11-03 |
| 1992292361 | Stacey K. Borden | Counselor | 22 Drydock Ave Fl 3, Boston, MA 02210-2386 | 2018-04-20 |
| 1487163432 | Melinda Mcgahan | Counselor | 23 Bradston St Fl 1, Boston, MA 02118-2703 | 2017-09-21 |
| 1821515370 | Focal Points Healthcare, LLC | Counselor | 541 Sumner St # B, Boston, MA 02128-2258 | 2017-08-25 |
| 1881110005 | Robert Kenneth Turner | Counselor | 97 Hemenway Street, 11, Boston, MA 02115 | 2017-08-18 |
| 1548791189 | Ludy Young | Counselor | 247 Columbia Rd, Boston, MA 02121-3427 | 2017-03-24 |
| 1407390123 | Cheri L Epps | Counselor | 112 South Hampton Street, Boston, MA 02118 | 2016-12-14 |
| 1912440181 | Mark David Fralick | Counselor | 675 E 4th St, Boston, MA 02127-3063 | 2016-11-21 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.