TRACIE E WALTERSCHEID


Address: 123 Emma Rd, Basalt, CO 81621-9169
Phone: 9709452840

TRACIE E WALTERSCHEID (NPI# 1225397672) 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) 1225397672
Entity Type Individual
Full Name TRACIE E WALTERSCHEID
Other Name TRACIE MCKINLEY
Credential PA
Practice Address 123 Emma Rd
Basalt
CO 81621-9169
Mailing Address 2700 Gilstrap Ct Ste 230
Glenwood Springs
CO 81601-8735
Practice Telephone 9709452840
Practice Fax Number 9709452893
Mailing Telephone 9709452840
Mailing Fax Number 9709452893
Enumeration Date 2012-05-04
Last Update Date 2019-01-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 4636 CO Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA07788 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 123 EMMA RD
City BASALT
State CO
Zip Code 81621-9169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366699308 Karen Lajoy Smith Counselor 123 Emma Rd, Suite 204c, Basalt, CO 81621-9169 2008-08-21
1952924227 Ericka Dries Counselor 123 Emma Rd, Basalt, CO 81621-9169 2020-05-21
1932758711 Estela Lujan Ortiz Dental Hygienist 123 Emma Rd, Basalt, CO 81621-9169 2019-09-05
1982261319 Helvia Salgado Dental Hygienist 123 Emma Rd, Basalt, CO 81621-9169 2019-05-21
1255836193 Matthew Kobe King Counselor 123 Emma Rd, Basalt, CO 81621-9169 2018-03-23
1902315922 Jessica R Pinnock Nurse Practitioner 123 Emma Rd, Basalt, CO 81621-9169 2017-09-21
1154703965 Sarah Davis Physician Assistant 123 Emma Rd, Basalt, CO 81621-9169 2015-06-29
1538456041 Anneliese Heckert Family Medicine 123 Emma Rd, Basalt, CO 81621-9169 2011-07-05
1316251580 Sara Elizabeth Jacobs Social Worker 123 Emma Rd, Basalt, CO 81621-9169 2010-07-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235777889 Aspen Valley Hospital District General Acute Care Hospital 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 2019-12-13
1972925691 Kristin Lynne Werner Counselor 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 2014-01-15
1831449008 Jody Powell Naturopath 189 Basalt Center Cir, Basalt, CO 81621 2012-09-14
1619274263 Marcus Blue Dentist 227 Midland Avenue, Suite C-6, Basalt, CO 81621 2011-02-17
1669790572 Win Health Institute, LLC Health Maintenance Organization 110 Midland Avenue, Suite 2, Basalt, CO 81621 2010-05-17
1730320557 Frederick Elias Persiko Counselor 23400 Two Rivers Road, #49, Basalt, CO 81621 2009-03-09
1235305467 Rachel Cherie Carey Specialist 1460 East Valley Road, Suite 101, Basalt, CO 81621 2008-05-07
1679697973 Thomas Robert Lankering Chiropractor 189 Basalt Center Circle, Basalt, CO 81621 2007-03-19
1598850166 Locke Family Medicine, LLC Family Medicine 1450 East Valley Road, Suite 101, Basalt, CO 81621 2006-10-03
1013925098 Karen Chrisholm Stevenson Physical Therapist 1450 E Valley Road, Ste 203, Basalt, CO 81621 2006-08-04
Find all providers in zip 81621

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780225821 Mowita Kensinger Physician Assistant 1450 E Valley Rd Unit 105, Basalt, CO 81621-8352 2019-09-30
1891207775 Carly Ann Stillman Physician Assistant 350 Market St Unit 316, Basalt, CO 81621-7405 2017-10-31
1154703965 Sarah Davis Physician Assistant 123 Emma Rd, Basalt, CO 81621-9169 2015-06-29
1710136395 Grace Song Physician Assistant 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 2008-09-18
1780853085 Rachael K Wymer Physician Assistant 1450 E Valley Rd, Suite 201, Basalt, CO 81621-8304 2008-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871518 Emily Tracy Physician Assistant 172 Siesta Cir, Evergreen, CO 80439-4339 2020-11-05
1285234914 Austin Ethridge Physician Assistant 22101 County Road 22, Hudson, CO 80642-9514 2020-10-30
1396345195 Clarissa Rachael Flynn Physician Assistant 13795 W Kentucky Dr, Lakewood, CO 80228-3064 2020-10-29
1386244895 Cheyenne M Zurfluh Physician Assistant 1301 Lory St, Fort Collins, CO 80524-4213 2020-10-26
1043819576 Patrick Ryan Murphy Physician Assistant 1160 Sandstone Dr, Vail, CO 81657-4408 2020-10-26
1114527652 Li Ashley Lim Physician Assistant 132 W B St Apt 3k, Pueblo, CO 81003-3446 2020-10-26
1477152957 Erin Lynn Hellerstedt Physician Assistant 766 S Martin St Apt C222, Longmont, CO 80501-6493 2020-10-26
1962001438 Brian Andrew Kacvinsky Physician Assistant 1333 E 17th Ave, Denver, CO 80218-1526 2020-10-25
1750980298 Rachel Wolfe Physician Assistant 38 Qualla Ct, Boulder, CO 80303-3900 2020-10-24
1255930897 Lee Finley-blasi Physician Assistant 841 Atwood St, Longmont, CO 80501-5020 2020-10-24
Find all providers with the same taxonomy

Competitor

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City BASALT
Zip Code 81621

Improve Information

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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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