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  7. NPI Record 1669701744

TRACI ANN MOE APNP
Complete NPI Record 1669701744
Nurse Practitioner - Adult Health in La Crosse, WI

NPI Status: Active since December 18, 2009

Contact Information

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider Other Last Name
  8. Provider Other First Name
  9. Provider Other Middle Name
  10. Provider Other Name Prefix Text
  11. Provider Other Credential Text
  12. Provider Other Last Name Type Code
  13. Provider First Line Business Mailing Address
  14. Provider Business Mailing Address City Name
  15. Provider Business Mailing Address State Name
  16. Provider Business Mailing Address Postal Code
  17. Provider Business Mailing Address Country Code If outside U S
  18. Provider Business Mailing Address Telephone Number
  19. Provider First Line Business Practice Location Address
  20. Provider Business Practice Location Address City Name
  21. Provider Business Practice Location Address State Name
  22. Provider Business Practice Location Address Postal Code
  23. Provider Business Practice Location Address Country Code If outside U S
  24. Provider Business Practice Location Address Telephone Number
  25. Provider Enumeration Date
  26. Last Update Date
  27. Provider Gender Code
  28. Healthcare Provider Taxonomy Code 1
  29. Provider License Number 1
  30. Provider License Number State Code 1
  31. Healthcare Provider Primary Taxonomy Switch 1
  32. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1669701744. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1669701744
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: TRACI
The first name of the provider, if the provider is an individual.
Provider Middle Name: ANN
The middle name of the provider, if the provider is an individual.
Provider Credential Text: APNP
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name: LINDVIG
Other last name by which the provider being identified is or has been known.
Provider Other First Name: TRACI
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
Provider Other Middle Name: ANN
Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
Provider Other Name Prefix Text: MRS.
The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Other Credential Text: APNP
The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name Type Code: 5
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 1836 SOUTH AVE
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LA CROSSE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: WI
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 546015429
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 6087827300
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 1836 SOUTH AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LA CROSSE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: WI
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 546015429
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Business Practice Location Address Telephone Number: 6087827300
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/18/2009
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Last Update Date: 12/9/2015
The date that a record was last updated or changed.
Provider Gender Code: F
The State code in the location of the provider being identified.
Healthcare Provider Taxonomy Code 1: 363LA2200X
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number 1: 3938
The country code in the location address of the provider being identified.
Provider License Number State Code 1: WI
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: Y
The fax number associated with the location address of the provider being identified.
Is Sole Proprietor: N
The date the provider was assigned a unique identifier (assigned an NPI).