TRACY STALEY (NPI# 1023492410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023492410 |
| Entity Type | Individual |
| Full Name | TRACY STALEY |
| Credential | NP |
| Practice Address |
1 Cessna Blvd Wichita KS 67215 |
| Mailing Address |
446 S 6th St Colwich KS 67030-9513 |
| Practice Telephone | 3165176632 |
| Mailing Telephone | 3162043566 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TMP-157609 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128436 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 W 5th St, Ste 201, Austin, TX 787035434 | 3379919276 | 3379919288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649602913 | Tracy Staley | Massage Therapist | 2600 Garden Rd, 238, Monterey, CA 93940-5311 | 2013-08-08 |
| 1942546882 | Tracy D Staley | Registered Nurse | 698 Howard St, Spartanburg School District 7, Spartanburg, SC 29303-2964 | 2012-12-21 |
| Street Address |
1 CESSNA BLVD |
| City | WICHITA |
| State | KS |
| Zip Code | 67215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033243795 | Laurie Ebenkamp | Physical Therapist | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2007-03-15 |
| 1518453182 | Anita Sauerwein Davis | Registered Nurse | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2018-07-07 |
| 1467995480 | Penny Gilbert | Specialist/Technologist | 1 Cessna Blvd, Health Services, Wichita, KS 67215-1400 | 2016-11-22 |
| 1386841948 | Kiersten Dawn Camp | Nurse Practitioner | 1 Cessna Blvd, Wichita, KS 67215-1400 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295903250 | Fasttrack Physical Therapy and Sports Rehabilitation | Clinic/Center | 2290 N Tyler Rd #300, Wichita, KS 67215 | 2008-02-13 |
| 1275732349 | Kimberly Baldwin | Speech-Language Pathologist | 2619 S Yellowstone Ct, Wichita, KS 67215-1507 | 2007-07-17 |
| 1194147405 | Reniece Shook | Registered Nurse | 10406 W Greenfield St, Wichita, KS 67215-1655 | 2014-01-07 |
| 1619297207 | Paula Southern Kramer | Social Worker | 3931 S Eisenhower Ct, Wichita, KS 67215-1763 | 2010-06-04 |
| 1609222983 | Bethany Fenlason | Doula | 6311 W 35th Ct S, Wichita, KS 67215-1830 | 2016-05-05 |
| 1942831219 | Vanessa Kay Jones | Pediatrics | 2466 S Westgate Ct, Wichita, KS 67215-3013 | 2020-01-27 |
| 1023071867 | Mueeza Zafar | Family Medicine | 5735 W Macarthur Rd, Wichita, KS 67215-8404 | 2006-04-11 |
| 1821247990 | Patricia R. Ringer | Nurse Practitioner | 5735 W Macarthur Rd, Wichita, KS 67215-8404 | 2008-09-15 |
| 1891749024 | Wheatland Medical Clinic Pa | Family Medicine | 5735 W Macarthur Rd, Wichita, KS 67215-8404 | 2006-05-20 |
| 1184230690 | Amazing Hands Therapy Services LLC | Clinic/Center | 10715 W 35th St S, Wichita, KS 67215-8647 | 2020-09-20 |
| Find all providers in zip 67215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.