IndividualActive
Tracey Southard
NPI 1215298260 · Specialist · Medford, NY
Tracey Southard is a Specialist provider in Medford, NY (NPI 1215298260).
Provider details
- NPI number
- 1215298260
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 764610 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Scouting Blvd
Medford, NY 11763-2220
Phone: (631) 745-0317
Approximate (ZIP-level) locationGet directions
Mailing address
132 La Bonne Vie Dr W Apt J
East Patchogue, NY 11772-4560
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2012-06-06
Frequently asked questions
- What is Tracey Southard's NPI number?
- Tracey Southard's National Provider Identifier (NPI) is 1215298260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Southard's specialty?
- Tracey Southard is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tracey Southard located?
- Tracey Southard's practice location on file with NPPES is 1 Scouting Blvd, Medford, NY 11763-2220.
- What is Tracey Southard's phone number?
- The practice phone number listed in the NPPES registry for Tracey Southard is (631) 745-0317.
- Is Tracey Southard's NPI active?
- Yes — Tracey Southard's NPI (1215298260) is active in the NPPES registry as of the last update on 2012-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.