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TRACEY DIANNE ECKLUND
NPI 1811400666
Student in an Organized Health Care Education/Training Program in Canyon, TX

Active since November 14, 2017
2620 RUSSEL LONG BLVD, CANYON, TX 79016(806) 651-3640 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Dianne Ecklund NPPES

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

TRACEY DIANNE ECKLUND (NPI 1811400666) is an individual student in an organized health care education/training program in Canyon, Texas and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1811400666
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRACEY DIANNE ECKLUND
Location Address2620 RUSSEL LONG BLVDCanyon, TX 79016-0001
Mailing Address12655 Raymond RdAmarillo, TX 79119-7525 · (814) 512-4755
Phone(806) 651-3640
Sole ProprietorNo
Enumeration DateNovember 14, 2017
✔ NPI 1811400666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2620 RUSSEL LONG BLVD, Canyon, TX 79016
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Other Providers at the Same Location NPPES

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

HEATHER ANN FERRELL
Specialist/Technologist (Athletic Trainer)
2620 RUSSEL LONG BLVD
CANYON, TX 79016
Randall County (806) 651-3642

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 Tracey Ecklund's NPI number?

The NPI number for Tracey Ecklund is 1811400666. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Tracey Ecklund located?

Tracey Ecklund practices at 2620 Russel Long Blvd, Canyon, TX 79016. The listed phone number is (806) 651-3640.

What is Tracey Ecklund's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tracey Ecklund was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.