MISS TRACEY GIBSON (NPI# 1225279946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225279946 |
| Entity Type | Individual |
| Full Name | MISS TRACEY GIBSON |
| Credential | RNFA |
| Practice Address |
12855 N 40 Dr Suite 100 Saint Louis MO 63141-8657 |
| Practice Telephone | 3148787150 |
| Practice Fax Number | 3148783051 |
| Mailing Telephone | 3148787150 |
| Mailing Fax Number | 3148783051 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
123572 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704625 | Tracey Gibson | Physical Therapy Assistant | 1029 E 14 Mile Rd, Dafter, MI 49724-9563 | 2015-07-02 |
| 1679816508 | Tracey Furlonge Gibson | Anesthesiology | 77 Nealy Ave Bldg 257, Hampton, VA 23665-2040 | 2013-03-28 |
| Street Address |
12855 N 40 DR SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206354 | St. Louis Pharmaceutical Services LLC | Pharmacy | 12855 N 40 Dr, Saint Louis, MO 63141-8635 | 2005-06-22 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| 1750847984 | Samantha Mintert | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-02-12 |
| 1629439302 | Elizabeth Galler | Physician Assistant | 12855 N 40 Dr, 180, Saint Louis, MO 63141-8657 | 2016-03-09 |
| 1992161210 | Amy Thayer | Nurse Practitioner | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 | 2016-01-04 |
| 1821453796 | Mason Ridge Ambulatory Surgery Center Lp | Clinic/Center | 12855 N 40 Dr, Suite 150, Saint Louis, MO 63141-8657 | 2015-12-21 |
| 1083090088 | Rebecca Suzanne Roe Thomasson | Physician Assistant | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 | 2015-08-03 |
| 1891179040 | Forefront Dermatology, S.c. | Dermatology | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 | 2015-07-17 |
| 1669869657 | Christopher Joseph Forsbach | Podiatrist | 12855 N 40 Dr, Saint Louis, MO 63141 | 2015-04-17 |
| 1346633930 | Chesterfield Anesthesia Associates of Missouri, LLC | Anesthesiology | 12855 N 40 Dr, 150, Saint Louis, MO 63141-8657 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921635 | Laura Schwab | Registered Nurse | 1000 Des Peres Rd Ste 325, Saint Louis, MO 63131-2053 | 2020-08-07 |
| 1851953020 | Kelley Marie Kiel | Registered Nurse | 621 S New Ballas Rd Ste 537a, Saint Louis, MO 63141-8261 | 2019-07-08 |
| 1154793248 | Elite Surgical Assisting LLC | Registered Nurse | 2355 Dougherty Ferry Rd Ste 430, Saint Louis, MO 63122-3325 | 2015-10-28 |
| 1952534224 | Kimberly Ann Pastrana | Registered Nurse | 13536 Pine Wood Trl, Saint Louis, MO 63128-3382 | 2009-09-02 |
| 1649880121 | Brian James Bertschi | Registered Nurse | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2020-08-09 |
| 1386269314 | Bariatric and Surgical Assistants, LLC | Registered Nurse | 2355 Dougherty Ferry Rd Ste 430, Saint Louis, MO 63122-3325 | 2020-06-16 |
| 1295235018 | Rusty Miller | Registered Nurse | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2018-02-19 |
| 1245684869 | William Craig Oubre | Registered Nurse | 1 Barnes Jewish Hospital Plz, Pod 2, Sw Tower, Saint Louis, MO 63110-1003 | 2016-04-20 |
| 1417317223 | Christiana Ireland | Registered Nurse | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2016-03-07 |
| 1366801532 | Brett Temming | Registered Nurse | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2016-02-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.