Tracy Conder, RD, CSSD is a
Dietitian, Registered based in Joint Base Langley-eustis, Virginia. Tracy Conder is licensed to practice in Virginia (license number 835002) and her current practice location is
77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 225-7630.
NPI number for Tracy Conder is 1386994382 and her current mailing address is 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386994382.
Healthcare Provider's Profile
Full Name | Tracy Conder |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 77 Nealy Avenue, Joint Base Langley-eustis, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386994382
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 09/17/2012
Medical Identifiers
Medical identifiers for Tracy Conder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386994382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 835002 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Conder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracy Conder, RD, CSSD 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 225-7630 | Tracy Conder, RD, CSSD 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 Ph: (757) 225-7630 |
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