TRACI LYNN MARTIN (NPI# 1144602640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144602640 |
| Entity Type | Individual |
| Full Name | TRACI LYNN MARTIN |
| Other Name | TRACI LYNN LYLE |
| Credential | NP |
| Practice Address |
1001 Hadley Rd Suite Ll050 Mooresville IN 46158-1883 |
| Practice Telephone | 3178341010 |
| Practice Fax Number | 3178341015 |
| Mailing Telephone | 3178341010 |
| Mailing Fax Number | 3178341015 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71005608A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 28189657A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | APN LICENSE | 71005608A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494600 | Traci Martin | Case Manager/Care Coordinator | 4611 E 52nd Dr Apt 123, Vernon, CA 90058-5534 | 2016-05-05 |
| 1164889010 | Traci Martin | Advanced Practice Midwife | 8845 Six Pines Dr, Shenandoah, TX 77380-2675 | 2016-01-23 |
| 1285848507 | Traci Lynn Martin | Physical Therapist | 500 15th Ave S, Benefis Therapy Center, Great Falls, MT 59405-4324 | 2007-05-09 |
| 1427170927 | Traci Martin | Counselor | 2191 Kirker Pass Rd, Concord, CA 94521-1629 | 2007-04-04 |
| 1770664815 | Traci Kristine Martin | Speech-Language Pathologist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2006-10-17 |
| Street Address |
1001 HADLEY RD SUITE LL050 |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000237 | Gary S Midla | Family Medicine | 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1794 | 2005-11-15 |
| 1568980134 | Kaitlin E Alsman | Audiologist | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2017-09-05 |
| 1881128536 | Tonya Whitaker | Registered Nurse | 1001 Hadley Rd, Ll050, Mooresville, IN 46158-1883 | 2017-04-19 |
| 1740646520 | Katy Grismore | Nurse Practitioner | 1001 Hadley Rd, Suite Ll100, Mooresville, IN 46158-1883 | 2016-01-08 |
| 1740623156 | Christina Marie Kelley | Registered Nurse | 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1883 | 2013-04-16 |
| 1740527431 | Jacqueline M Stroud | Nurse Practitioner | 1001 Hadley Rd, Suite 102, Mooresville, IN 46158-1883 | 2013-01-15 |
| 1780928408 | Indiana University Eye Care, Inc. | Ophthalmology | 1001 Hadley Rd, Suite 103, Mooresville, IN 46158-1883 | 2012-11-19 |
| 1457611584 | Dara L Sander | Nurse Practitioner | 1001 Hadley Rd, Mooresville, IN 46158-1883 | 2012-05-23 |
| 1801187828 | Amanda Marie Walter | Pediatrics | 1001 Hadley Rd, Ll 100, Mooresville, IN 46158-1883 | 2011-04-25 |
| 1740509801 | Bethany R. Troutwine | Family Medicine | 1001 Hadley Rd, Suite 102, Mooresville, IN 46158-1883 | 2010-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| 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 |
|---|---|---|---|---|
| 1144704487 | Leah Heather Alfino | Nurse Practitioner | 235 Medical Park Rd Ste 201, Mooresville, NC 28117-8546 | 2018-09-22 |
| 1477066363 | Np Services of Nc LLC | Nurse Practitioner | 142 S Cardigan Way Ste D-2, Mooresville, NC 28117-8536 | 2017-11-14 |
| 1053824078 | Andrea Colvin | Nurse Practitioner | 444 Williamson Rd Ste B, Mooresville, NC 28117-9248 | 2017-11-13 |
| 1508395740 | Angela Redmon | Nurse Practitioner | 134 Medical Park Rd Ste 108, Mooresville, NC 28117-8527 | 2017-06-10 |
| 1922318088 | Terri Lynn Sanchez | Nurse Practitioner | 133 Welton Way Ste C, Mooresville, NC 28117-9163 | 2010-10-07 |
| 1285745935 | Lillian M Conway | Nurse Practitioner | 128 Argus Ln Ste G, Mooresville, NC 28117-6973 | 2006-08-31 |
| 1164539086 | Noreen Lorraine Brophy | Nurse Practitioner | 127 Kensington St, Mooresville, NC 28117-8042 | 2006-08-24 |
| 1942237409 | Carolyn B Davis | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117 | 2006-06-28 |
| 1497713093 | Allyson Yanni | Nurse Practitioner | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2006-05-03 |
| 1770107757 | Tonya Sullivan | Nurse Practitioner | 142 Professional Park Dr Ste 300, Mooresville, NC 28117-5602 | 2020-06-04 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.