TRACY ELLEN KUPER (NPI# 1104954015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954015 |
| Entity Type | Individual |
| Full Name | TRACY ELLEN KUPER |
| Credential | RN, CPNP |
| Practice Address |
1301 Barbara Jordan Blvd Ste 300 Austin TX 78723-3078 |
| Practice Telephone | 5124788116 |
| Practice Fax Number | 5124789368 |
| Mailing Telephone | 5124788116 |
| Mailing Fax Number | 5124789368 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP112442 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
605032 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 BARBARA JORDAN BLVD STE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268703 | Amy M. Jensen | Physician Assistant | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2006-07-17 |
| 1083102594 | Gloria Cho | Physician Assistant | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2018-04-30 |
| 1720532070 | Sarah Beckley | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2016-08-03 |
| 1538589510 | Central Texas | Clinic/Center | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2014-04-17 |
| 1093048191 | Jamie Anderson Moore | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2009-09-08 |
| 1851540199 | Christopher Dwight Souder | Orthopaedic Surgery | 1301 Barbara Jordan Blvd Ste 300, Austin, TX 78723-3078 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1982201281 | Alison Conway | Nurse Practitioner | 2900 S 1st St Apt 123, Austin, TX 78704-6368 | 2020-10-08 |
| 1629680525 | Elizabeth Britt Dufrene | Nurse Practitioner | 8102 Isaac Pryor Dr, Austin, TX 78749-1863 | 2020-08-21 |
| 1679105258 | Karen Troylyn Karnaky | Nurse Practitioner | 806 West Ave, Austin, TX 78701-2208 | 2020-02-11 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1457904401 | Megan Grace Berard | Nurse Practitioner | 3801 N Lamar Blvd Suite 300, Austin, TX 78756-4080 | 2019-07-18 |
| 1457825747 | Cecilia Joe Davis | Nurse Practitioner | 3410 Far West Blvd Ste 110, Austin, TX 78731-3187 | 2019-01-20 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1023536414 | Alyssa Evens | Nurse Practitioner | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 | 2017-09-06 |
| 1710340963 | Kimberly Ellison | Nurse Practitioner | 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 | 2016-04-04 |
| Find all providers in AUSTIN | ||||
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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.