TRACY L SUNDE (NPI# 1124685870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124685870 |
Entity Type | Individual |
Full Name | TRACY L SUNDE |
Credential | LADC |
Practice Address |
512 4th St Sw Medford MN 55049-9568 |
Practice Telephone | 5072108695 |
Mailing Telephone | 5072108695 |
Enumeration Date | 2019-05-28 |
Last Update Date | 2019-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
305441 | MN | Behavioral Health & Social Service Providers |
Street Address |
512 4TH ST SW |
City | MEDFORD |
State | MN |
Zip Code | 55049-9568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323453 | Refine Service Coordination Pllc | Counselor | 512 4th St Sw, Medford, MN 55049-9568 | 2019-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184705634 | Our Homes South, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 North Main Street, Medford, MN 55049-0119 | 2006-10-18 |
1093969107 | Renae Dawn Blome | Dental Hygienist | 4366 270th St E, Medford, MN 55049-8001 | 2008-11-17 |
1245397603 | Isd 763 Medford Public School | Local Education Agency (LEA) | 750 2nd Ave Se, Medford, MN 55049-9586 | 2007-01-03 |
1295207215 | Joseph J Claeys | Social Worker | 750 2nd Ave Se, Medford, MN 55049-9586 | 2019-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174124226 | Shane William Macdonald | Social Worker | 20 Stearns Ave, Medford, MA 02155-5620 | 2020-11-05 |
1386245934 | Stephen Choi | Pharmacist | 12 Blakely Rd, Medford, MA 02155-2409 | 2020-11-02 |
1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
1366042418 | Sarah Hassan | Registered Nurse | 298 Fellsway W, Medford, MA 02155-2646 | 2020-10-28 |
1720688021 | Edward Cutler | Phlebology | 724 S Central Ave Ste 206, Medford, OR 97501-7833 | 2020-10-27 |
1801496310 | Dyshonia Louise Dent | Licensed Practical Nurse | 1102 Lake Dr, Medford, NY 11763-4620 | 2020-10-26 |
1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
1295334118 | Moriah J Spendolini | Behavioral Analyst | 3709 Citation Way, Medford, OR 97504-9022 | 2020-10-21 |
1245839372 | Giovanni Germain | Behavior Technician | 29 Fells Avenue Ter, Medford, MA 02155-1913 | 2020-10-20 |
1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
Find all providers in MEDFORD |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245737956 | Larkspur Counseling LLC | Counselor | 328 S Central Ave Ste 212, Medford, OR 97501-7274 | 2018-04-09 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1255875654 | Danielle E Peterson | Counselor | 429 W Broadway Ave, Medford, WI 54451-1608 | 2016-12-05 |
1376099523 | Patricia Mcatee | Counselor | 243 N Holly St, Apt 1, Medford, OR 97501-5603 | 2016-08-28 |
1437512449 | Sage Bosch | Counselor | 1003 E Main St # 104, Medford, OR 97504-7448 | 2016-03-29 |
1114385853 | April Collins-macauley | Counselor | 234 W 5th St, Medford, OR 97501-2611 | 2016-02-09 |
1154714418 | Marykay Powell | Counselor | 4175 Cedar Ln, Medford, OR 97501-9611 | 2015-03-11 |
1699163931 | Violeta Iguchi | Counselor | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2015-01-08 |
1790109049 | Ellen Lynch | Counselor | 3251 Route 112 Ste 2, Medford, NY 11763-1446 | 2014-02-06 |
1922429174 | Roderick Evans | Counselor | 107 E Main St Ste 11, Medford, OR 97501-6022 | 2013-12-13 |
Find all providers in MEDFORD |
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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.