TRACY HOUSTON (NPI# 1164819330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164819330 |
| Entity Type | Individual |
| Full Name | TRACY HOUSTON |
| Credential | ATC |
| Practice Address |
500 Cole Dr Prairie Grove AR 72753-2509 |
| Mailing Address |
13641 Loren Ln Fayetteville AR 72704-8413 |
| Practice Telephone | 4798464212 |
| Mailing Telephone | 4794220218 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
110102278 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 COLE DR |
| City | PRAIRIE GROVE |
| State | AR |
| Zip Code | 72753-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1982821468 | Deborah Paas Blackburn | Speech-Language Pathologist | 15322 Goose Creek Road, Prairie Grove, AR 72753 | 2007-04-19 |
| 1083742928 | Brad Green | Dentist | 401 E Buchanan, Box 288, Prairie Grove, AR 72753 | 2007-03-01 |
| 1649332511 | Sterling Drug Company | Pharmacy | 125 E. Buchanan Street, Prairie Grove, AR 72753 | 2006-12-15 |
| 1811911100 | Andrew Thomas Bain | Dentist | 128 N Mock St, Prairie Grove, AR 72753 | 2006-07-27 |
| 1457548935 | Brad H Green Dds Pa | Dentist | 401 E Buchanan, Prairie Grove, AR 72753 | 2007-09-28 |
| 1376572800 | Ron D Lee | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-30 |
| 1376589754 | Christian G Blankers | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-22 |
| 1801350137 | Kacee Bodiford | Nurse Practitioner | 3150 E. Heritage Pwy, Prairie Grove, AR 72753-0000 | 2019-01-31 |
| 1205846813 | Marie Chantale Crosse | Nurse Practitioner | 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 | 2006-08-08 |
| Find all providers in zip 72753 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881081081 | Malinda Ann Rector | Specialist/Technologist | 11105 Meadowsweet Dr, Prairie Grove, AR 72753-8875 | 2015-04-25 |
| 1720224777 | Jaime Lyn Mann | Specialist/Technologist | 902 Grant Ave, Prairie Grove, AR 72753-8417 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953533 | Sierra Paige Marsh | Specialist/Technologist | 909 S Booth Rd, Searcy, AR 72143-9354 | 2020-08-19 |
| 1912518119 | Kayla Johnson | Specialist/Technologist | 410 Ouachita St Rm 202, Arkadelphia, AR 71998-0001 | 2020-08-11 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1013538925 | Josh Dyre Lammers | Specialist/Technologist | 163h E Hwy 18, Blytheville, AR 72315-8937 | 2020-05-01 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1093336323 | Nick Lee Haywood | Specialist/Technologist | 1900 Mcnatt Dr Apt 16, Brookland, AR 72417-9024 | 2020-04-28 |
| 1780205195 | Tayler Estrada | Specialist/Technologist | 113 Nw Yukon Trail St, Bentonville, AR 72712-5013 | 2020-04-27 |
| 1619502531 | Angelina Marconi | Specialist/Technologist | 410 Charleston Cv, Marion, AR 72364-2673 | 2020-03-11 |
| 1508496191 | Savannah Deann Hart | Specialist/Technologist | 265 County Road 2168, Hartman, AR 72840-8809 | 2020-01-22 |
| 1144850967 | Victoria Lynn Rollins | Specialist/Technologist | 8 Christopher Dr, Sherwood, AR 72120-4010 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE GROVE |
| Zip Code | 72753 |
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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.