Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRACIE KORTRIGHT
Active
Individual
TRACIE KORTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003611L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054079
MEDICARE-DME
PA
01
—
970028712
MEDICARE-RAILROAD
PA
Enumeration date
02/15/2006
Last updated
12/14/2020
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