JOHN TRACY (NPI# 1134342066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134342066 |
| Entity Type | Individual |
| Full Name | JOHN TRACY |
| Credential | RN |
| Practice Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R65106 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063829901 | John Robert Tracy | Social Worker | 500 Willow Ave Ste 210, Council Bluffs, IA 51503-0827 | 2014-07-11 |
| 1730411471 | John M Tracy | Speech-Language Pathologist | 525 N. Santiam Highway, Lebanon, OR 97355-0739 | 2010-02-05 |
| 1265409288 | John William Tracy | Family Medicine | 1661 Turner Spur Rd, Fancy Gap, VA 24328-4365 | 2006-03-08 |
| 1477547735 | John Joseph Tracy | Optometrist | 2655 Cleveland Ave, Suite A, Santa Rosa, CA 95403-2779 | 2005-09-01 |
| 1265935456 | John Tracy IIi | Registered Nurse | 1139 S Main St, Galax, VA 24333-4409 | 2018-03-14 |
| 1437650330 | John Mccreary Tracy | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-02-26 |
| 1255608444 | John W Tracy | Pharmacist | 1802 Galvin Rd S, Bellevue, NE 68005-3813 | 2011-11-16 |
| 1003145020 | John Michael Tracy Sr. | Pharmacist | 38 Locke Rd, Suite 3, Concord, NH 03301-5422 | 2009-12-22 |
| 1447297098 | John Timothy Tracy | Emergency Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-01 |
| Street Address |
2707 BROWNS LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447702 | Jyothsna Kumar | Psychiatry & Neurology | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-02-22 |
| 1043823552 | Sheila Mckenzie | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-25 |
| 1245841592 | Skyler Prunty | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1053922302 | Matheu Turner | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1245841576 | Tatyana Barber | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-08-11 |
| 1124643903 | Grace Williams | Behavior Technician | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-06-08 |
| 1679106231 | Arthur Paul Bruce | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-21 |
| 1619500139 | Antonio Carlos De Almeida Dos Santos | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-13 |
| 1518599091 | Marcie L Tuggle | Nurse Practitioner | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-02-12 |
| 1215568522 | Jessica Aubrie Dacus | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1730725144 | Jennifer Marie Sims | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-11-20 |
| 1174164610 | Amanda Leigh Marks | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1376194738 | Jennifer Ann Henderson | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1396010518 | Charles Cy Cox | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2012-03-21 |
| 1548563448 | Lenora Fay Tripp | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-12-15 |
| 1396058624 | Mary Renee Johnson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-07-15 |
| 1861679144 | Linda Lee Matheson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-01-29 |
| 1275713950 | Debbie L Russell | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-11-09 |
| 1194913772 | Shannon M Brewer | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-10-09 |
| Find all providers in JONESBORO | ||||
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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.