TRACEE TABARES (NPI# 1033732995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033732995 |
| Entity Type | Individual |
| Full Name | TRACEE TABARES |
| Practice Address |
702 Russell Ave Gaithersburg MD 20877-2606 |
| Practice Telephone | 2405957659 |
| Mailing Telephone | 2405957659 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
0001271471 | VA | Nursing Service Providers |
| Street Address |
702 RUSSELL AVE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416881 | Katherine J. Doneby Smith | Physician Assistant | 702 Russell Ave, Ste 100, Gaithersburg, MD 20877-2606 | 2005-06-09 |
| 1154766939 | Holy Cross Health Centers | Clinic/Center | 702 Russell Ave, Gaithersburg, MD 20877-2606 | 2013-05-07 |
| 1699030429 | Lani Nagorski | Podiatrist | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 | 2012-07-09 |
| 1629282983 | Tlc Whitten Laser Eye Associates, LLC | Clinic/Center | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-05-09 |
| 1619193968 | Gaithersburg Imaging Center, LLC | Specialist | 702 Russell Ave, Gaithersburg, MD 20877-2606 | 2007-04-17 |
| 1487779435 | Lakeforest Ambulatory Surgery Center | Clinic/Center | 702 Russell Ave, #301, Gaithersburg, MD 20877-2606 | 2007-03-20 |
| 1376675306 | Elizabeth A. Sharpe | Family Medicine | 702 Russell Ave, Suite 100, Gaithersburg, MD 20877-2606 | 2007-03-13 |
| 1285767723 | Drs Tabor & Weber Pa | Podiatrist | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 | 2007-03-13 |
| 1477607885 | Adam Paul Rubin | Optometrist | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2007-01-22 |
| 1568521318 | Paul Heyman | Optometrist | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | 2006-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109484 | Shawnaka Johnson | Registered Nurse | 12007 Lisborough Rd, Bowie, MD 20720-3499 | 2019-11-26 |
| 1780142893 | Bianca Tyler | Registered Nurse | 37767 Market Dr Unit 2, Charlotte Hall, MD 20622-3198 | 2019-03-07 |
| 1588183875 | Christine Malabanan | Registered Nurse | 12206 Holm Oak Dr, Waldorf, MD 20601-4522 | 2017-09-18 |
| 1649707340 | Ghislaine Cedeno | Registered Nurse | 1800 Orleans Street Bloomberg 11377 Peds, Baltimore, MD 21287-4405 | 2017-05-12 |
| 1053747626 | Emily Denise Johnson | Registered Nurse | 828 N. Eutaw St, Baltimore, MD 21201 | 2013-09-16 |
| 1669473088 | Janet Mk Gehring | Registered Nurse | National Naval Medical Center Pediatric Medicine, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-09 |
| 1891396883 | Jamila Afiya Gonsalves | Registered Nurse | 10440 Little Patuxent Pkwy Ste 800, Columbia, MD 21044-3569 | 2020-11-05 |
| 1992329635 | Morgan Hartz Stankiewicz | Registered Nurse | 121 Old Solomons Island Rd, Annapolis, MD 21401-4367 | 2020-05-28 |
| 1164862769 | Kristie April Talley | Registered Nurse | 2103 Laurel Bush Rd, Bel Air, MD 21015-6191 | 2013-06-27 |
| 1982956330 | Cheyenne Ashley Redd | Registered Nurse | 3 E Lee St, Baltimore, MD 21202-6000 | 2012-10-10 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.