MARY TRACEY (NPI# 1134515984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134515984 |
| Entity Type | Individual |
| Full Name | MARY TRACEY |
| Practice Address |
52 Village Dr Pagosa Springs CO 81147-8368 |
| Mailing Address |
8745 County Road 9 S Alamosa CO 81101-9610 |
| Practice Telephone | 9702642104 |
| Practice Fax Number | 9702642108 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2018-03-17 |
| 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 |
APN.0993060-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8745 County Road 9 S, Alamosa, CO 811019610 | 7195893671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817602 | Mary Elizabeth Tracey | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-12-09 |
| Street Address |
52 VILLAGE DR |
| City | PAGOSA SPRINGS |
| State | CO |
| Zip Code | 81147-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299395 | David E Drake | Psychiatry & Neurology | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2006-03-18 |
| 1285255364 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-30 |
| 1487274130 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2020-04-23 |
| 1679045173 | Kelly Pipkins-burt | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2018-12-20 |
| 1063980977 | Karen Hall | Social Worker | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2018-11-08 |
| 1922549732 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2017-03-13 |
| 1932565967 | Jeanne Marotta | Registered Nurse | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2016-01-06 |
| 1912022435 | Paul K Meeker | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2007-03-21 |
| 1265541585 | Jennifer L Burleton | Counselor | 52 Village Dr, Pagosa Springs, CO 81147-8368 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184243479 | Lauren Crawford | Massage Therapist | 140 Country Center Dr, Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1962021279 | Jennifer Marie Owens | Massage Therapist | 140 Country Center Dr., Unit 2, Pagosa Springs, CO 81147 | 2020-04-16 |
| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1114407657 | Clarity Coaching and Counseling, LLC | Clinic/Center | 115 Ute Drive, Ignacio, CO 81147 | 2018-08-15 |
| 1659880169 | Dds Catalyst Pagosa, LLC | Clinic/Center | 308 N. Pagosa Street, Pagosa Springs, CO 81147 | 2017-09-27 |
| 1205358918 | John D. Kutzko | Pharmacist | Selah Mountain Pharmacy, 426 Pagosa Street, Pagosa Springs, CO 81147 | 2017-07-13 |
| 1245774587 | Specialized Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 117 Navajo, Unit 3, Pagosa Springs, CO 81147 | 2016-12-06 |
| 1003295478 | Four Corners Family Dental-co, LLC | Dentist | 308 N Pagosa St, Pagosa Springs, CO 81147 | 2015-05-19 |
| 1710385075 | Merenda Renae Romine | Massage Therapist | 26 Durango Ct., Pagosa Springs, CO 81147 | 2014-12-18 |
| 1447657044 | Ashley Wagle | Counselor | 475 Lewis Street, Suite 104, Pagosa Springs, CO 81147 | 2014-11-25 |
| Find all providers in zip 81147 | ||||
| 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 |
|---|---|---|---|---|
| 1104430719 | Mam Psychiatry, LLC | Nurse Practitioner | 770 W Hampden Ave Ste 325, Englewood, CO 80110-2133 | 2020-09-01 |
| 1528678372 | Chelsey Mcfaddin | Nurse Practitioner | 14221 E 4th Ave # 2-126, Aurora, CO 80011-8735 | 2020-08-06 |
| 1912517293 | Viewpoints Psychotherapy Services, LLC | Nurse Practitioner | 1017 E Us Highway 24 # 2138, Woodland Park, CO 80863-2120 | 2020-08-03 |
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1265040117 | Integrative Psychiatric Services | Nurse Practitioner | 204 Walnut St Ste A, Fort Collins, CO 80524-4439 | 2020-07-16 |
| 1417574815 | Acorn Behavioral Health Services LLC | Nurse Practitioner | 1425 W 29th St, Loveland, CO 80538-2403 | 2020-07-01 |
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1578189791 | Bailey Et Al Pllc | Nurse Practitioner | 3005 Anchor Way Apt 1, Fort Collins, CO 80525-4716 | 2020-06-23 |
| 1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
| 1699399030 | Denmind Psychiatric Solutions Pllc | Nurse Practitioner | 600 17th St Ste 2800, Denver, CO 80202-5428 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PAGOSA SPRINGS |
| Zip Code | 81147 |
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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.