NPI age
8 years
Enumerated 2017-11-14
● Active
Type 1 · Individual
Tracey Dianne Ecklund
Ecklund is 1 of 2 student in an organized health care education/training program providers in Canyon and 1 of 17977 in Texas.
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 17977 active student in an organized health care education/training program providers in Texas.
NPI age
8 years
↑ 6 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Practice location
2620 Russel Long Blvd
Canyon, TX 790160001
Mailing address
12655 Raymond Rd
Amarillo, TX 791197525
Specialties
-
Student in an Organized Health Care Education/Training Program PrimaryAn 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.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.