Tracy Kellam
Tracy Kellam is a Contractor provider (Contractor) practicing in Youngstown, OH, registered in the NPPES registry with NPI 1104498344 since 2021.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1104498344 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tracy Kellam |
| Sex | Female |
| Practice address | Youngstown, OH, 44512 |
| Phone | 3309841505 |
| Enumeration date | 2021-07-16 |
| Last updated in NPPES | 2021-07-16 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171W00000X | Contractor | Primary | 0325993 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0325993 | Medicaid | OH | — |
Copy-ready billing details
Provider: Tracy Kellam NPI: 1104498344 Taxonomy: 171W00000X (Contractor) Address: Youngstown, OH, 44512
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922670074 | Debra Kellam | Individual | Home Health Aide | Youngstown, OH |
Verify this record
Cross-check NPI 1104498344 against the authoritative CMS record: view Tracy Kellam on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Tracy Kellam?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-16.