TRACY LYNN NICHOLS (NPI# 1023662947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023662947 |
| Entity Type | Individual |
| Full Name | TRACY LYNN NICHOLS |
| Practice Address |
2329 Griffin Rd Sw Albuquerque NM 87105-7026 |
| Mailing Address |
805 Tijeras Ave Nw Albuquerque NM 87102-3099 |
| Practice Telephone | 5053776110 |
| Mailing Telephone | 5052690486 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083035281 | Tracy Nichols | Registered Nurse | 1096 Long Br, Argillite, KY 41121-8593 | 2013-12-16 |
| 1255724704 | Tracy Nichols | Counselor | 5300 Brickleberry Way, Suite 103, Douglasville, GA 30134-4066 | 2015-03-09 |
| 1518218577 | Tracy D. Nichols | Nurse Practitioner | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-09-30 |
| Street Address |
2329 GRIFFIN RD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1346882909 | Jaineen Burkettsims | Case Manager/Care Coordinator | 11005 Spain Rd Ne Ste 22, Albuquerque, NM 87111-1871 | 2019-10-15 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1629632930 | Kassandra Lucero | Case Manager/Care Coordinator | 4118 Central Ave Se, Albuquerque, NM 87108-1177 | 2019-04-23 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1245769512 | Danielle White | Case Manager/Care Coordinator | 801 Encino Pl Ne Ste E1, Albuquerque, NM 87102-2645 | 2017-06-08 |
| 1447784079 | Jess Fulton | Case Manager/Care Coordinator | 720 Vassar Dr Ne, Albuquerque, NM 87106-2724 | 2017-04-20 |
| 1609309988 | Caitlin Goodwin | Case Manager/Care Coordinator | 2820 Ridgecrest Dr Se, Albuquerque, NM 87108-5152 | 2017-04-04 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
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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.