TRACY LEA MARTIN (NPI# 1053531855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053531855 |
| Entity Type | Individual |
| Full Name | TRACY LEA MARTIN |
| Practice Address |
109 S Harrill Eri Wagoner OK 74467 |
| Practice Telephone | 9184853554 |
| Practice Fax Number | 9184858371 |
| Mailing Telephone | 9184853554 |
| Mailing Fax Number | 9184858371 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528453404 | Tracy M Martin | Nurse Practitioner | 108 Calhoun St, Cincinnati, OH 45219-1527 | 2015-03-30 |
| 1275875270 | Tracy Robin Martin | Dentist | 7721 Fontaine St, Potomac, MD 20854-3304 | 2013-03-18 |
| 1508189176 | Tracy E Martin | Counselor | 7700 N 2nd St, Machesney Park, IL 61115-2872 | 2010-03-10 |
| 1811143902 | Tracy Elizabeth Martin | Specialist | 719 E 74th Ave, Anchorage, AK 99518-2828 | 2008-08-08 |
| 1538274246 | Tracy Nguyen Martin | Dentist | 5800 Bellaire Blvd Ste 110, Houston, TX 77081-5537 | 2006-08-20 |
| 1346847282 | Tracy Renee Martin | Case Manager/Care Coordinator | 1507 E Race Ave, Searcy, AR 72143-4661 | 2020-10-05 |
| 1841758315 | Tracy Lee Martin | Physical Therapist | 4233 Gateway Blvd Ste 201, Newburgh, IN 47630-8900 | 2019-03-04 |
| 1598234437 | Tracy Lynn Martin | Nurse Practitioner | 725 North St, Pittsfield, MA 01201-4109 | 2018-11-21 |
| 1942791769 | Tracy Martin | Student in an Organized Health Care Education/Training Program | 671 Hoes Ln W # D325, Piscataway, NJ 08854-8021 | 2018-05-29 |
| 1659725430 | Tracy Martin | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2016-04-19 |
| Street Address |
109 S HARRILL ERI |
| City | WAGONER |
| State | OK |
| Zip Code | 74467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1083043699 | Jessica Lynn Lewis | Counselor | 1002 Sw 14th Pl, Wagoner, OK 74467-7744 | 2013-11-04 |
| 1740539097 | Michael Ellis Crawford | Counselor | 33800 E 750 Rd, 16b, Wagoner, OK 74467-9348 | 2012-09-02 |
| 1942503461 | Laramie Leon Palmer | Counselor | 2109 South Highway 69, Wagoner, OK 74464 | 2010-12-07 |
| 1174774913 | Myrtle L Collins | Counselor | 32175 E 723 Rd, Wagoner, OK 74467-7425 | 2008-10-09 |
| 1275750275 | Kathy Sue Mobus | Counselor | 109 S. Harrill, Wagoner, OK 74467 | 2007-04-19 |
| 1417560988 | Matthew Trent Soldier | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-25 |
| 1396363560 | Michael Dean Hutchings | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-13 |
| 1396360640 | Jordan Marquett Presley I | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-12 |
| 1730704149 | April C Price | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-11 |
| Find all providers in WAGONER | ||||
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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.