TRACY L WYRICK (NPI# 1033605514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033605514 |
| Entity Type | Individual |
| Full Name | TRACY L WYRICK |
| Credential | FNP-BC |
| Practice Address |
418 Crane St Park Hills MO 63601-1906 |
| Practice Telephone | 5732591053 |
| Mailing Telephone | 5732591053 |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018024153 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
418 CRANE ST |
| City | PARK HILLS |
| State | MO |
| Zip Code | 63601-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134611510 | Angela Dawn Ibaviosa | Pharmacist | Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO 63601 | 2018-06-01 |
| 1881101376 | Julie Brischle | Dietitian, Registered | 1025 W. Main Street, P.o. Box 367, Park Hills, MO 63601 | 2018-01-05 |
| 1962810770 | Anns Place | Assisted Living Facility | 351 Keith Street, Park Hills, MO 63601 | 2014-07-24 |
| 1770995474 | Richard Barton | Physical Therapist | 1301 N. Saint Joe Dr., Park Hills, MO 63601 | 2014-05-29 |
| 1871927350 | Marcella Darlynn Williams | Occupational Therapist | 800 Brim Street, Desloge, MO 63601 | 2013-09-03 |
| 1356773287 | Mckenzie Lee Kaughman | Occupational Therapy Assistant | 801 Brim Street, Desloge, MO 63601 | 2013-08-02 |
| 1720292022 | Dwayne Patrick Smith | Physical Therapy Assistant | 1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601 | 2007-05-09 |
| 1710078324 | Martha A Mcmurry | Counselor | 512 East Main St., Park Hills, MO 63601 | 2006-09-27 |
| 1083184667 | Scarlet Barron | General Practice | 223 W. Main St., Park Hills, MO 63601 | 2018-11-27 |
| 1104175090 | Jon Lee Clauser | Physical Therapy Assistant | 801 Brim St, Deslodge, MO 63601 | 2012-09-06 |
| Find all providers in zip 63601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866316 | Tabitha Jewel Pinkley | Nurse Practitioner | 5272 Flat River Dr, Park Hills, MO 63601-2224 | 2020-06-24 |
| 1386192151 | Mary Lou Tongay | Nurse Practitioner | 4800 Oak Ridge Trl, Park Hills, MO 63601-8224 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | PARK HILLS |
| Zip Code | 63601 |
Please comment or provide details below to improve the information on TRACY L WYRICK.
| 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.