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TRACI MEDRANO
NPI 1124747944
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since August 24, 2022
4841 TRAMWAY RIDGE DR NE, ALBUQUERQUE, NM 87111(877) 499-1354(888) 636-1795 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2022, Aug 24, 2022 (2 updates tracked since 2022).

About Traci Medrano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI MEDRANO (NPI 1124747944) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CSA0213231) and active in the NPI registry since August 2022. She maintains a secondary practice location in Santa Fe.

NPPES Registry Identity

NPI1124747944
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACI MEDRANO
Location Address4841 TRAMWAY RIDGE DR NEAlbuquerque, NM 87111-2787
Mailing Address1821 Cortina Loop SeRio Rancho, NM 87124-8938
Phone(877) 499-1354
Fax(888) 636-1795
Sole ProprietorNo
Enumeration DateAugust 24, 2022
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1124747944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CSA0213231
4841 TRAMWAY RIDGE DR NE, Albuquerque, NM 87111
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Secondary Practice Location 1

Location 12209 Miguel Chavez Rd Ste FSanta Fe, NM 87505-7010 · Phone (877) 499-1354 · Fax (888) 636-7582

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN T BEEMER CPSW
Peer Specialist
4841 TRAMWAY RIDGE DR NE
ALBUQUERQUE, NM 87111
Bernalillo County (505) 388-2361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Medrano's NPI number?

The NPI number for Traci Medrano is 1124747944. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Traci Medrano located?

Traci Medrano practices at 4841 Tramway Ridge Dr NE, Albuquerque, NM 87111. The listed phone number is (877) 499-1354.

What is Traci Medrano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Traci Medrano was last updated on August 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.