TRACY CASAULT (NPI# 1508912197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508912197 |
| Entity Type | Individual |
| Full Name | TRACY CASAULT |
| Credential | D.O. |
| Practice Address |
119 Ucb Boulder CO 80309-0119 |
| Practice Telephone | 3034925101 |
| Mailing Telephone | 3034925101 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
45638 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
119 UCB |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-0119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912085952 | Ann Louise Mattson | Obstetrics & Gynecology | 119 Ucb, Boulder, CO 80309-0119 | 2006-11-01 |
| 1770074841 | Charina Gaston Cordova-velayo | Marriage & Family Therapist | 119 Ucb, Boulder, CO 80309-5001 | 2018-05-24 |
| 1205273216 | Chelsea Johnson | Pharmacist | 119 Ucb, Boulder, CO 80309-5001 | 2013-05-30 |
| 1922357946 | Melissa Uleki Capparo-batey | Nurse Practitioner | 119 Ucb, Boulder, CO 80309-0119 | 2012-09-05 |
| 1891066056 | Christopher Ynigo Velayo | Counselor | 119 Ucb, Boulder, CO 80309-5001 | 2012-01-19 |
| 1598042244 | Sarah Kaufman Feil | Pharmacist | 119 Ucb, Boulder, CO 80309-5001 | 2011-11-09 |
| 1396981890 | Emily A Kerr | Counselor | 119 Ucb, Boulder, CO 80309-5001 | 2009-01-05 |
| 1235305582 | Carla Jean Bradley | Psychologist | 119 Ucb, Boulder, CO 80309-0119 | 2008-05-07 |
| 1881812873 | Stephanie Marie Betz | Nurse Practitioner | 119 Ucb, Boulder, CO 80309-5001 | 2007-04-23 |
| 1770606758 | Molly Fortuna | Counselor | 119 Ucb, Boulder, CO 80309-0119 | 2007-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1497908362 | All Sports Medicine of Boulder | Family Medicine | 3825 Iris Ave, Suite 300, Boulder, CO 80301-2003 | 2008-10-23 |
| 1326069998 | Nathan Michael Josephs | Family Medicine | 3055 47th Street, Boulder, CO 80301 | 2006-07-21 |
| 1437130424 | Timothy Joseph Mazzola | Family Medicine | 350 Broadway St Ste 202, Boulder, CO 80305 | 2005-11-08 |
| 1881868008 | Sherrie Lynn Ballantine-talmadge | Family Medicine | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093338840 | St Mary's Hospital and Medical Center, Inc | Family Medicine | 2698 Patterson Rd Unit 42, Grand Junction, CO 81506-8818 | 2020-05-27 |
| 1356980940 | Catholic Health Initiatives Colorado | Family Medicine | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2019-12-30 |
| 1225525132 | Pueblo Sports and Family Medicine Pllc | Family Medicine | 1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981 | 2018-04-16 |
| 1013274281 | Sports and Family Medicine of Colorado | Family Medicine | 6390 Gardenia St Unit 140, Arvada, CO 80004-3536 | 2012-04-12 |
| 1205112596 | Catholic Health Initiatives Colorado | Family Medicine | 1315 Fortino Blvd, Pueblo, CO 81008-1981 | 2011-10-31 |
| 1316184120 | 10k Sports Medicine, PC | Family Medicine | Unit 101b, 12 Snowmass Rd, Crested Butte, CO 81224-8046 | 2009-01-15 |
| 1740467315 | Workpartners | Family Medicine | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2008-01-26 |
| 1578686382 | Lisa Brone | Family Medicine | 149 S Briggs St, Ste 103b, Erie, CO 80516-4064 | 2007-04-08 |
| 1861547572 | Girish Anand Paranjape | Family Medicine | 2240 Buchtel Blvd, 3rd Floor Clinic - Ritchie Center, Denver, CO 80208-0001 | 2007-01-24 |
| 1144305038 | Herbert G Parris | Family Medicine | 2610 E 3rd Ave, Denver, CO 80206-4721 | 2006-10-26 |
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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.