MRS. TRACY SHABU


Address: 714 Windy Peak Loop, Cary, NC 27519-1886
Phone: 9199144097

MRS. TRACY SHABU (NPI# 1194352963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194352963
Entity Type Individual
Full Name MRS. TRACY SHABU
Practice Address 714 Windy Peak Loop
Cary
NC 27519-1886
Practice Telephone 9199144097
Mailing Telephone 9199144097
Enumeration Date 2020-03-23
Last Update Date 2020-03-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
11180114 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 714 WINDY PEAK LOOP
City CARY
State NC
Zip Code 27519-1886

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1508478918 Select Physical Therapy Holdings, Inc. Clinic/Center 150 Wellesley Trade Ln, Cary, NC 27519 2020-08-18
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1568023190 Bay Imaging Consultants Medical Group Inc Radiology 1226 Brickfield Dr., Cary, NC 27519 2019-06-25
1861974131 Tasha Ann Cadet Marriage & Family Therapist 235 Michigan Ave, Cary, NC 27519 2018-09-04
1295217628 Stacey Janette Wilson Marriage & Family Therapist 235 Michigan Avenue, Cary, NC 27519 2018-09-01
1275029720 Melissa Holt Nurse Practitioner 212 Towne Village Drive, Cary, NC 27519 2018-07-09
1912432162 Margaret Creed Thompson Behavioral Analyst 210 Tals Rock Way, Suite 3, Cary, NC 27519 2017-04-25
1154799088 Ashley Hudson Nurse Practitioner 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 2015-09-09
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114386224 Linda Mayo Nurse Practitioner 609 Hogans Valley Way, Cary, NC 27513-5696 2016-02-17
1811502669 Brielle Reyes Nurse Practitioner 600 New Waverly Pl, Cary, NC 27518-7404 2020-09-09
1104200815 Heather Santori Nurse Practitioner 300 Keisler Dr, Cary, NC 27518-7083 2015-07-13
1114183548 Southern Geriatrics, LLC Nurse Practitioner 1310 Se Maynard Rd, Suite 202, Cary, NC 27511-3615 2008-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891309662 Courtney Elaine Anderson Nurse Practitioner 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 2020-08-31
1649896150 Richard Kral Nurse Practitioner 1697 Tellico Rd, Franklin, NC 28734-5955 2020-06-20
1871133850 Stephanie M Canipe Nurse Practitioner 802 Woodmoore Ln, Kannapolis, NC 28081-5700 2020-01-08
1013551076 Michelle Lowery Nurse Practitioner 805 E Peach St, Rowland, NC 28383-8613 2019-11-03
1629533146 Kathy Parker Farley Nurse Practitioner 69 Darlington Dr, Broadway, NC 27505-9558 2019-02-08
1417427055 Megan M Ribbing Nurse Practitioner 287 East St. Suite 221, Pittsboro, NC 27312 2018-11-27
1619472057 Allyson Michele Baxter Nurse Practitioner 112 W Fire Tower Rd, Winterville, NC 28590-9475 2018-03-27
1669982039 Christian Bernard Mikesell Nurse Practitioner Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 2017-10-11
1467970160 Melissa Muller Rothrock Nurse Practitioner The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 2017-09-01
1073057329 Steven Angelos Marinos Nurse Practitioner 107 Regulator Dr, Clayton, NC 27520-8719 2016-12-06
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Competitor

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City CARY
Zip Code 27519

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Dataset Information

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.

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