MS. TRACY KOSEDNAR (NPI# 1225459142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225459142 |
| Entity Type | Individual |
| Full Name | MS. TRACY KOSEDNAR |
| Credential | R.N. |
| Practice Address |
11905 W Cocopah Cir Avondale AZ 85323-6292 |
| Practice Telephone | 6234786295 |
| Mailing Telephone | 6234786295 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
RN100219 | AZ | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN100219 | AZ | Nursing Service Providers |
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN100219 | AZ | Nursing Service Providers |
| Street Address |
11905 W COCOPAH CIR |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265778211 | Lisa Carr | Licensed Practical Nurse | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2012-12-19 |
| 1780038133 | Samantha Helen Chapin | Registered Nurse | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2016-04-21 |
| 1790193753 | Angelina Maria Garcia | Speech-Language Pathologist | 11905 W Cocopah Cir, Avondale, AZ 85323-6292 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1093041980 | Leslie F. Holland | Registered Nurse | 350s. 118th Ave, Collier Elementary School, Avondale, AZ 85323 | 2009-10-27 |
| 1780898874 | Ellen Mary Reynolds | Registered Nurse | 11002 W Laurelwood Ln, Avondale, AZ 85323-4036 | 2007-05-09 |
| 1255544920 | Tamara Greabell | Registered Nurse | 10825 W Garden Lakes Pkwy, Avondale, AZ 85323-3718 | 2007-05-08 |
| 1558583419 | Karen Lee Pichon-tadlock | Registered Nurse | 10237 W Encanto Blvd, Avondale, AZ 85323-4702 | 2007-05-02 |
| 1205963956 | Deborah Cason | Registered Nurse | 12002 W Tonto St, Avondale, AZ 85323-5711 | 2007-02-28 |
| 1417961533 | Rebecca Walters Franklin | Registered Nurse | 45 S 3rd Ave, Avondale, AZ 85323-2264 | 2006-07-27 |
| 1679596092 | Avondale Elementary School District #44 | Registered Nurse | 235 W Western Ave, Avondale, AZ 85323-1848 | 2006-07-26 |
| 1700353158 | Theresa Ann Haugen | Registered Nurse | 3300 N Santa Fe Trl, Avondale, AZ 85392-6734 | 2018-10-24 |
| 1174013759 | Maria A Arias | Registered Nurse | 45 S 3rd Ave, Avondale, AZ 85323-2264 | 2018-05-18 |
| Find all providers in AVONDALE | ||||
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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.