TRACY DAWN TYLER (NPI# 1073154365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073154365 |
Entity Type | Individual |
Full Name | TRACY DAWN TYLER |
Practice Address |
11111 Houze Rd Ste 225 Roswell GA 30076-5618 |
Mailing Address |
5455 Fieldfreen Dr Cumming GA 30028-3898 |
Practice Telephone | 7706030123 |
Mailing Telephone | 4044274723 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2019-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN239833 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770190068 | Tracy Slade Tyler | Licensed Practical Nurse | 36605 Outback Rd, Denham Springs, LA 70706-8545 | 2020-09-30 |
Street Address |
11111 HOUZE RD STE 225 |
City | ROSWELL |
State | GA |
Zip Code | 30076-5618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760987002 | Meredith Mcwhirter | Nurse Practitioner | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2018-03-28 |
1952963597 | Johanna Nicole Turner | Social Worker | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2019-07-03 |
1730651548 | Robilene Lipscomb | Counselor | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2018-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
Find all providers in zip 30076 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225646813 | Ololade Babarinde | Nurse Practitioner | 885 Woodstock Rd Ste 129, Roswell, GA 30075-2276 | 2020-07-20 |
1861946253 | Sandra Kovachi | Nurse Practitioner | 4609 Village Green Dr, Roswell, GA 30075-7642 | 2016-08-15 |
1770943086 | Melissa Kay Bethany | Nurse Practitioner | 613 W 2nd St Ste 1, Roswell, NM 88201-4671 | 2016-02-29 |
1982631040 | Susan A Greene | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2006-06-26 |
1780211466 | Seek First Health | Nurse Practitioner | 106 N Delaware Ave, Roswell, NM 88203-3042 | 2020-03-24 |
1275005449 | Viviene Verona Smith | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2018-12-27 |
1639690159 | Nirvana Mental Healthcare Services Inc | Nurse Practitioner | 1627 S Union Ave, Roswell, NM 88203-2656 | 2017-07-06 |
1033527924 | Kendaly Meadows | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2014-07-24 |
1396182838 | Sparkman Behavioral Health, P. C. | Nurse Practitioner | 313 W Country Club Rd, Suite 5, Roswell, NM 88201-5804 | 2013-05-23 |
1316291792 | Special Needs Consulting LLC | Nurse Practitioner | 227 N Main St, Roswell, NM 88201-4722 | 2012-11-06 |
Find all providers in ROSWELL |
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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.