TRACY L JOHNSON (NPI# 1194029520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194029520 |
| Entity Type | Individual |
| Full Name | TRACY L JOHNSON |
| Practice Address |
709 Mulberry Dr W West Bend WI 53090-2257 |
| Practice Telephone | 2624832637 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 161173-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980734 | Tracy Johnson | Behavioral Analyst | 8200 Haven Ave Apt 7211, Rancho Cucamonga, CA 91730-6972 | 2018-01-25 |
| 1588052419 | Tracy Johnson | Licensed Practical Nurse | 85 Floss Ave, Buffalo, NY 14211-1901 | 2014-12-30 |
| 1447665138 | Tracy Johnson | Registered Nurse | 120 Danville Dr, Leesburg, GA 31763-5706 | 2014-06-22 |
| 1255692638 | Tracy Darnelle Johnson | Registered Nurse | 985 Irvin Shoots Rd E, Marion, OH 43302-9739 | 2012-06-01 |
| 1992938757 | Tracy Lynn Johnson | Prosthetic/Orthotic Supplier | 2309 S 17th St Ste 100, Wilmington, NC 28401-8006 | 2009-08-27 |
| 1568665578 | Tracy Ann Johnson | Counselor | 7420 Better Way Se, Snoqualmie, WA 99065 | 2007-06-07 |
| 1134322324 | Tracy L. Johnson | Speech-Language Pathologist | 2700 Feather Run Trl, Apt. E20, West Columbia, SC 29169-4966 | 2007-06-06 |
| 1891902433 | Tracy Lynne Johnson | Physical Therapy Assistant | 887 Lincoln Dr, Conneaut, OH 44030-2135 | 2007-05-16 |
| 1942343520 | Tracy Ann Johnson | Counselor | 5726 Marlin Road. Suite 200, Chattanooga, TN 37411 | 2007-02-14 |
| 1013528587 | Tracy R Johnson | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-08-10 |
| Street Address |
709 MULBERRY DR W |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274979 | Victoria Kathryn Snowden | Registered Nurse | 721 James Ct, West Bend, WI 53095-4213 | 2019-09-13 |
| 1285151266 | Alina Marie Flint | Registered Nurse | 630 Oakfield St Apt 8, West Bend, WI 53090-5411 | 2017-08-29 |
| 1871018564 | Cory Katsma | Registered Nurse | 7395 Frederick Pl, West Bend, WI 53090-8643 | 2017-08-03 |
| 1194139485 | Micayla Grace Rathke | Registered Nurse | 527 Michigan Ave, West Bend, WI 53095-4037 | 2014-06-16 |
| 1740605351 | Lauren Tennies | Registered Nurse | 1319 S Indiana Ave, West Bend, WI 53095-5193 | 2014-02-19 |
| 1144643446 | Rachel Beimborn | Registered Nurse | 1927 Green Tree Rd Apt 5, West Bend, WI 53090-1462 | 2014-01-23 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1821338286 | Nichole Marie Reno | Registered Nurse | 763 S 7th Ave, West Bend, WI 53095-3944 | 2013-02-22 |
| 1861739526 | Jennifer Lynn Stegemeyer | Registered Nurse | 1777 Maple Dale Rd, West Bend, WI 53090-8965 | 2013-01-14 |
| 1295085751 | Mary Geralyn Roberts | Registered Nurse | 7239 N River Rd, West Bend, WI 53090-1216 | 2012-09-12 |
| Find all providers in WEST BEND | ||||
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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.