KEVIN SCOTT TRACY (NPI# 1114253572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253572 |
| Entity Type | Individual |
| Full Name | KEVIN SCOTT TRACY |
| Credential | R.N. |
| Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Mailing Telephone | 9282832501 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
135534 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187625 | Kevin Tracy | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2018-03-16 |
| 1215993159 | Kevin Patrick Tracy | Internal Medicine | 1770 Skylyn Dr, Spartanburg, SC 29307-1045 | 2006-04-20 |
| 1215919550 | Kevin Abraham Tracy | Pediatrics | 2521 Stockton Blvd, Glassrock Bldg. Suite 4100, Sacramento, CA 95817-2207 | 2005-11-14 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927190 | Melisa Lalich | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706975 | Susanne Marie Angela Gunther | Registered Nurse | 14037 E Red Bird Rd, Scottsdale, AZ 85262-9543 | 2020-10-02 |
| 1679196158 | Mary Sandra Whitlatch | Registered Nurse | 4939 W Ray Rd Ste 4-312, Chandler, AZ 85226-2065 | 2020-05-19 |
| 1992327043 | Patricia Marie Lewis | Registered Nurse | 1848 N Somerset, Mesa, AZ 85205-3583 | 2020-05-12 |
| 1326527391 | Lori Ann Sparks Corgan | Registered Nurse | 14256 W Cora Ln, Goodyear, AZ 85395-8480 | 2018-08-10 |
| 1629586912 | Marc Completo | Registered Nurse | 5217 W Spur Dr, Phoenix, AZ 85083-1285 | 2018-01-20 |
| 1043728330 | Marina Louise Gierish | Registered Nurse | 20856 N 88th Dr, Peoria, AZ 85382-6433 | 2018-01-20 |
| 1588113708 | Nanette Hernandez | Registered Nurse | 5008 E Thomas Rd, Phoenix, AZ 85018-7956 | 2016-09-29 |
| 1518332139 | Lelabeth Pearson | Registered Nurse | Interstate 19 and State Route 86, Sells, AZ 85634-0548 | 2015-12-08 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1295147957 | Jennifer Ann Meiser Hayes | Registered Nurse | 908 W Anderson Rd, Flagstaff, AZ 86001-1111 | 2014-05-28 |
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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.