Active NPIIndividual provider

Tracy Tyson, MD

Pediatrics in Saint Albans, Vermont

NPI Number1205865045
Practice location
11 Crest RD, Saint Albans, VT 05478-9701
Fax
802-527-8187
Last updated
June 30, 2023

Tracy Tyson is a Pediatrics based in Saint Albans, VT. Tracy Tyson practices in Saint Albans, VT and has the professional credentials of MD. The NPI Number for Tracy Tyson is 1205865045 and holds a License No. ME96031 (FL). The current practice location address for Tracy Tyson is 11 Crest RD, Saint Albans, VT 05478-9701 and can be reached out via phone at 802-527-8189 and via fax at 802-527-8187.

Provider Profile Details

NPI Number
1205865045
Provider Name
Tracy Tyson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11 Crest RD, Saint Albans, VT 05478-9701
Phone Number
802-527-8189
Fax Number
802-527-8187
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2006
Last Update Date
June 30, 2023
Certification Date
June 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Crest RD
Saint Albans, VT 05478-9701
State
Vermont
Zip
05478-9701
Phone Number
802-527-8189
Fax Number
802-527-8187
Saint Albans, VT 05478Get directions →

Provider Business Mailing Address Details

Address
600 Blair Park RD Ste 285
Williston, VT 05495-7586
City
Williston
State
VT
Zip
05495-7586
Phone Number
802-288-1140
Fax Number
802-288-1144

License Information

License Number (1)
ME96031
License State (1)
FL
License Number (2)
ME96031
License State (2)
FL
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracy Tyson, MD?

The NPI number of Tracy Tyson, MD is 1205865045. It was assigned on July 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Tracy Tyson, MD?

Tracy Tyson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in FL under license number ME96031.

Where does Tracy Tyson, MD practice?

The practice location is 11 Crest RD, Saint Albans, VT 05478-9701. The office can be reached at 802-527-8189 (phone) or 802-527-8187 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205865045 directly on the NPPES registry website.

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