MRS. TRACY RENEE PILGRIM (NPI# 1033394804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033394804 |
| Entity Type | Individual |
| Full Name | MRS. TRACY RENEE PILGRIM |
| Credential | APN |
| Practice Address |
105 Nathan St Marked Tree AR 72365 |
| Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Practice Telephone | 8703582036 |
| Practice Fax Number | 8703584116 |
| Mailing Telephone | 8703582036 |
| Mailing Fax Number | 8703584116 |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01248 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 NATHAN ST |
| City | MARKED TREE |
| State | AR |
| Zip Code | 72365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043523228 | Mary Melissa Cantrell | Nurse Practitioner | 105 Nathan St, Marked Tree, AR 72365-1447 | 2010-07-16 |
| 1780620534 | Crittenden Hospital Association | Clinic/Center | 105 Nathan St, Marked Tree, AR 72365-1447 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255593232 | Dr Bryan Caplinger Pa | Optometrist | 116 Nathan, Marked Tree, AR 72365 | 2008-06-30 |
| 1740368174 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 33904 Highway 63, Marked Tree, AR 72365 | 2006-11-02 |
| 1174925945 | Arkansas Home Health Providers-iv, LLC | Home Health | 107 Nathan St, Marked Tree, AR 72365-1447 | 2014-09-23 |
| 1912305186 | Caring Hearts Home Care Provider LLC | Home Health | 108 Nathan St, Marked Tree, AR 72365-1448 | 2014-12-19 |
| 1538597588 | Michael A. Curtis Od Plc | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2013-10-29 |
| 1669839486 | Cjmh, LLC | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2016-01-25 |
| 1932271590 | Roach Enterprises Inc | Durable Medical Equipment & Medical Supplies | 98 Highway 63b Ste A, Suite A, Marked Tree, AR 72365-1614 | 2006-11-15 |
| 1477179422 | Bianca Smith | Technician | 136 Pecan St, Marked Tree, AR 72365-1926 | 2020-06-24 |
| 1386118800 | Titus Leraun Crockett | Case Manager/Care Coordinator | 101 Raymond St, Marked Tree, AR 72365-2001 | 2019-01-17 |
| 1992221287 | Southern Health and Wellness, Inc | Pharmacy | 203 Newsome Dr Ste A, Marked Tree, AR 72365-2018 | 2017-08-17 |
| Find all providers in zip 72365 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
| City | MARKED TREE |
| Zip Code | 72365 |
Please comment or provide details below to improve the information on MRS. TRACY RENEE PILGRIM.
| 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.