Individual
TRACI A. KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD CWSP
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
171W00000X
Contractor
—
—
173000000X
Legal Medicine
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
208600000X
Surgery Physician
Primary
DR49586
CO
208D00000X
General Practice Physician
DR49586
CO
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246ZB0301X
Biomedical Engineer
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98159241
—
CO
Enumeration date
01/30/2007
Last updated
04/05/2025
Update your record
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 at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up