TRACY L FRY (NPI# 1174070205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174070205 |
| Entity Type | Individual |
| Full Name | TRACY L FRY |
| Credential | APRN |
| Practice Address |
3333 Mcintosh Cir Ste 4 Joplin MO 64804 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173478200 |
| Mailing Telephone | 4173473649 |
| Mailing Fax Number | 4173479106 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2017044184 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 153513 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 MCINTOSH CIR STE 4 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1932558186 | Craig M Mulherin | Dentist | 1710 E 32nd St Ste J, Joplin, MO 64804 | 2016-06-08 |
| Find all providers in zip 64804 | ||||
| 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 |
|---|---|---|---|---|
| 1558880799 | Paige Diane Burress | Nurse Practitioner | 3202 Mcintosh Cir Ste 102, Joplin, MO 64804-3686 | 2017-09-19 |
| 1033511159 | Ashley Southern-devoe | Nurse Practitioner | 3302 Mcintosh Cir Ste 2, Joplin, MO 64804-3648 | 2014-09-19 |
| 1760825574 | Melissa G. C. Daugaard | Nurse Practitioner | 3302 Mcintosh Cir Ste 1, Joplin, MO 64804-3648 | 2013-04-10 |
| 1619285400 | Tiffany Nicole George | Nurse Practitioner | 3333 Mcintosh Cir Ste 3, Joplin, MO 64804-3681 | 2010-09-15 |
| 1164525770 | Tracy Nicole Stapleton | Nurse Practitioner | 302 S Joplin, Joplin, MO 64802 | 2006-09-07 |
| 1306876842 | Lorie Mccreary | Nurse Practitioner | 1030 Mcintosh Circle, Ste 1, Joplin, MO 64804 | 2006-07-03 |
| 1053347542 | Sandra J Tinney | Nurse Practitioner | 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 | 2006-06-25 |
| 1730115866 | Corinne T. Stevens | Nurse Practitioner | 3202 Mcintosh Cir Ste 301, Joplin, MO 64804 | 2006-06-23 |
| 1366484461 | Gary Jones | Nurse Practitioner | 2817 Mcclelland Blvd, Suite 224, Joplin, MO 64804-1629 | 2006-06-12 |
| 1578501383 | Jenifer C. Webb | Nurse Practitioner | 1102 W 32nd St Ste 200, Joplin, MO 64804-3503 | 2006-06-03 |
| Find all providers in JOPLIN | ||||
Please comment or provide details below to improve the information on TRACY L FRY.
| 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.