MR. TRACY WOODROW WATSON JR. (NPI# 1194720763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194720763 |
| Entity Type | Individual |
| Full Name | MR. TRACY WOODROW WATSON JR. |
| Credential | CRNA |
| Practice Address |
17638 Walnut Trl Chagrin Falls OH 44023-6414 |
| Practice Telephone | 4407082964 |
| Practice Fax Number | 4407080254 |
| Mailing Telephone | 4407082964 |
| Mailing Fax Number | 4407080254 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | RN176205 | OH | Nursing Service Providers |
| X | 367500000X | Nurse Anesthetist, Certified Registered | NA03676 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0176554 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215495460 | Tracy Lynn Payton Watson | Counselor | 8604 Greenville Ave Ste 201, Dallas, TX 75243-7148 | 2019-03-06 |
| 1124395728 | Tracy Katherine Watson | Social Worker | 3462 40th Ave Sw, Seattle, WA 98116-3420 | 2011-11-27 |
| 1922208537 | Tracy Newbern Watson | Social Worker | 830 Glastonbury Rd Apt 512, Nashville, TN 37217-1704 | 2007-07-21 |
| 1376674838 | Tracy Watson | Speech-Language Pathologist | 2436 Zickert Rd Nw, Duranes Es, Albuquerque, NM 87104-2831 | 2007-03-08 |
| 1780743104 | Tracy Dawn Watson | Chiropractor | 1080 Minnesota Ave, #2, San Jose, CA 95125 | 2006-12-08 |
| 1134754260 | Tracy Lee Watson | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2020-03-09 |
| 1063883007 | Tracy Watson | Nurse Practitioner | 1250 Linda St, Suite 103, Rocky River, OH 44116-1853 | 2015-10-16 |
| 1568806594 | Tracy Ann Watson | Licensed Practical Nurse | 455 Magnolia Ave, Cuyahoga Falls, OH 44221-5133 | 2013-04-21 |
| 1336379106 | Tracy Carole Watson | Physician Assistant | 101 Manning Dr, Main Hospital N 1181, Chapel Hill, NC 27514-4220 | 2009-07-15 |
| 1306919774 | Tracy Robert Watson | Chiropractor | 1143 Kildaire Farm Rd, Cary, NC 27511-4563 | 2006-11-15 |
| Street Address |
17638 WALNUT TRL |
| City | CHAGRIN FALLS |
| State | OH |
| Zip Code | 44023-6414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850244 | Tiffani Lauryn Mattson | Specialist/Technologist | 16783 Snyder Road, Chagrin Falls, OH 44023 | 2017-09-12 |
| 1518407824 | Marcia Shaunta Biggs | Student in an Organized Health Care Education/Training Program | 16754 Findlay St, Chagrin Falls, OH 44023 | 2017-03-06 |
| 1427391853 | Andrea Ward | Obstetrics & Gynecology | 8185 E. Washington Street, Chagrin Falls, OH 44023 | 2013-04-04 |
| 1346576287 | Jennifer Rose Cochran | Home Health Aide | 7695 Pettibone Rd, Chagrin Falls, OH 44023 | 2009-10-28 |
| 1013162700 | Eric Jason Lewis | Registered Nurse | 16515 Munn Rd, Chagrin Falls, OH 44023 | 2008-11-21 |
| 1366628398 | University Hospitals Medical Practices Inc | Orthopaedic Surgery | 8185 E Wahington St #1p, Chagrin Falls, OH 44023 | 2008-01-22 |
| 1376754473 | Washington Square Chiropractic Clinic, LLC | Chiropractor | 8551 East Washington St., Chagrin Falls, OH 44023 | 2007-05-24 |
| 1730309006 | Bainbridge Township | Ambulance | 17822 Chillicothe Road, Chagrin Falls, OH 44023 | 2007-04-27 |
| 1215062625 | Mark C Brown | Psychologist | 9781 Whisperwood Circle, Chagrin Falls, OH 44023 | 2007-02-23 |
| 1417096710 | Debra D Arthur | Speech-Language Pathologist | 7160 Chagrin Road, Suite 125, Bainbridge, OH 44023 | 2007-02-05 |
| Find all providers in zip 44023 | ||||
| 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 |
|---|---|---|---|---|
| 1316466097 | Alison Hoit | Registered Nurse | 7466 Samuel Lord Dr, Chagrin Falls, OH 44023-1112 | 2017-09-14 |
| 1528507100 | Teresa Bester | Registered Nurse | 18319 Cranberry Ridge Ln, Chagrin Falls, OH 44023-4810 | 2017-02-16 |
| 1902224702 | Christine Marie Cleary | Registered Nurse | 17598 Eastbrook Trl, Chagrin Falls, OH 44023-5602 | 2014-03-31 |
| 1245655885 | Carisa Meyer | Registered Nurse | 17425 Snyder Rd, Chagrin Falls, OH 44023-2730 | 2014-02-19 |
| 1316294788 | Titi Brooks | Registered Nurse | 8289 Chagrin Rd, Chagrin Falls, OH 44023-4745 | 2012-08-05 |
| 1447556196 | Sandra Lynn Bock | Registered Nurse | 8483 Trillium Dr, Chagrin Falls, OH 44023-4705 | 2011-01-28 |
| 1013162700 | Eric Jason Lewis | Registered Nurse | 16515 Munn Rd, Chagrin Falls, OH 44023 | 2008-11-21 |
| 1942482583 | Leonard Shamis | Registered Nurse | 29449 Jackson Rd, Chagrin Falls, OH 44022-1536 | 2007-12-05 |
| 1962623306 | Ann Wechter Gordos | Registered Nurse | 325 Bell St, Chagrin Falls, OH 44022-2907 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104909 | Michele G Dennes | Registered Nurse | 536 Darrow Rd, Akron, OH 44305-3006 | 2020-11-05 |
| 1346841350 | Chavon Willis | Registered Nurse | 4724 Lawrence Ave, Garfield Heights, OH 44125-1868 | 2020-11-05 |
| 1972104230 | Kristen Fencl | Registered Nurse | 1924 7th St, Cuyahoga Falls, OH 44221-3824 | 2020-11-03 |
| 1316548795 | Erica Lough | Registered Nurse | 278 Augusta Dr, Elyria, OH 44035-8299 | 2020-11-03 |
| 1275134777 | Karen Denice Shirley | Registered Nurse | 4945 Abbot Run Ct, Liberty Twp, OH 45011-8656 | 2020-11-03 |
| 1972103505 | Haley L Warthman | Registered Nurse | 13671 Good Dr, Logan, OH 43138-8416 | 2020-11-01 |
| 1447850078 | Heather Lynn Penwell | Registered Nurse | 185 Cabin Creek Rd, Piketon, OH 45661-8097 | 2020-11-01 |
| 1912507757 | Cheryl A Bowser | Registered Nurse | 812 W North St, Piqua, OH 45356-1828 | 2020-10-30 |
| 1790384741 | Brittany Janice Rayburn | Registered Nurse | 867 Arlington Ave, Mansfield, OH 44903-7019 | 2020-10-21 |
| 1508465600 | Rebekkah Casi Reisner | Registered Nurse | 5312 Underwood Rd, Riverside, OH 45431-2853 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | CHAGRIN FALLS |
| Zip Code | 44023 |
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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.