TRACEY RENEE BRYANT (NPI# 1053629212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053629212 |
| Entity Type | Individual |
| Full Name | TRACEY RENEE BRYANT |
| Credential | LPCC |
| Practice Address |
202 S 4th St Bardstown KY 40004-1008 |
| Mailing Address |
201 S 5th St Bardstown KY 40004-1142 |
| Practice Telephone | 5023481054 |
| Practice Fax Number | 5023481056 |
| Mailing Telephone | 5023486309 |
| Mailing Fax Number | 5023482793 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
164670 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100394470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1962473256 | Tracey L Bryant | Physician Assistant | 216 W 10th Ave, Suite 300, Kennewick, WA 99336-6300 | 2006-01-27 |
| Street Address |
202 S 4TH ST |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346875796 | Stephanie Ann Nicholson | Nurse Practitioner | 202 S 4th St, Bardstown, KY 40004-1008 | 2020-03-05 |
| 1689214702 | Megan Mae Davis | Nurse Practitioner | 202 S 4th St, Bardstown, KY 40004-1008 | 2020-01-07 |
| 1316586571 | Bardstown Total Health Care Corp | Counselor | 202 S 4th St, Bardstown, KY 40004-1008 | 2020-01-04 |
| 1447544366 | Brittany Nicole Rigney | Counselor | 202 S 4th St, Bardstown, KY 40004-1008 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104132596 | Mary Therese O'neil | Counselor | 311 South Third Street, Bardstown, KY 40004 | 2010-08-24 |
| 1245348721 | Audrey A. Simek | Counselor | 209 E Stephen Foster Ave, Bardstown, KY 40004-1513 | 2006-08-26 |
| 1881632628 | Charlotte Carroll | Counselor | 331 South Third Street, Bardstown, KY 40004 | 2006-06-03 |
| 1891740635 | Karel Disponett | Counselor | 114 N 5th St, Suite 11, Bardstown, KY 40004-1449 | 2006-05-23 |
| 1447544366 | Brittany Nicole Rigney | Counselor | 202 S 4th St, Bardstown, KY 40004-1008 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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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.