Provider Demographics
NPI:1013984632
Name:RING, TRACI M (MS CCC A)
Entity Type:Individual
Prefix:MRS
First Name:TRACI
Middle Name:M
Last Name:RING
Suffix:
Gender:F
Credentials:MS CCC A
Other - Prefix:MS
Other - First Name:TRACI
Other - Middle Name:M
Other - Last Name:HALSNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC A
Mailing Address - Street 1:7301 MISSION RD STE 146
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3005
Mailing Address - Country:US
Mailing Address - Phone:913-384-2105
Mailing Address - Fax:913-384-0735
Practice Address - Street 1:9119 W 74TH ST STE 306
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2229
Practice Address - Country:US
Practice Address - Phone:913-403-0018
Practice Address - Fax:913-432-3619
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1935231H00000X
KS1121231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1121OtherHEARING AID DISPENSING LI
7666210OtherAETNA
640004508OtherTRAVELERS MEDICARE
P31670OtherCOVENTRY
KS100398780AMedicaid
481106646OtherHUMANA
29268011OtherBCBS OF KANSAS CITY
481106646OtherHUMANA
KS100398780AMedicaid