TRACY L. HENNINGER (NPI# 1235646506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235646506 |
| Entity Type | Individual |
| Full Name | TRACY L. HENNINGER |
| Practice Address |
451 Chew St Ste 103 Allentown PA 18102-3412 |
| Practice Telephone | 6107768253 |
| Practice Fax Number | 6107762308 |
| Mailing Telephone | 6107768253 |
| Mailing Fax Number | 6107762308 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP018162 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 CHEW ST STE 103 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708340 | Stephanie Destafney | Nurse Practitioner | 5485 Cetronia Rd, Allentown, PA 18106-9757 | 2020-04-04 |
| 1073037214 | Bryan Weinberg | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 208, Allentown, PA 18103-6218 | 2017-07-31 |
| 1104137629 | Barbara L Bier | Nurse Practitioner | 365 Cedar Crest Blvd, Allentown, PA 18103-0000 | 2010-06-30 |
| 1689817660 | Lisa Ann Siegfried | Nurse Practitioner | 535 No. 17th Street, Allentown, PA 18104-5016 | 2009-04-07 |
| 1023207032 | Patricia Mitchell-bowman | Nurse Practitioner | 1255 South Cedar Crest Boulevard, Allentown, PA 18103 | 2007-10-16 |
| 1508850546 | Sandra R Kowalski | Nurse Practitioner | 3080 Hamilton Blvd, Ste 350, Allentown, PA 18103-3694 | 2005-09-06 |
| 1669477543 | Debra Ann Williston | Nurse Practitioner | 1230 S Cedar Crest Blvd Stes 301, 302, 304, Allentown, PA 18103-6212 | 2005-06-16 |
| 1821605403 | Allen Zelno | Nurse Practitioner | 450 Chew St, Allentown, PA 18102-3434 | 2020-09-28 |
| 1992334239 | Beth Sinkovits | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2020-04-08 |
| 1902436389 | Megan Kennedy | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2020-01-24 |
| Find all providers in ALLENTOWN | ||||
Please comment or provide details below to improve the information on TRACY L. HENNINGER.
| 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.