TRACY WILSON (NPI# 1265853055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265853055 |
| Entity Type | Individual |
| Full Name | TRACY WILSON |
| Other Name | TRACY WATT |
| Credential | RN |
| Practice Address |
3482 Broadway St Boulder CO 80304-1824 |
| Practice Telephone | 3039219019 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 0193936 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1033256938 | Tracy C Wilson | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2007-01-31 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1902232325 | Tracy M Wilson | Occupational Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2013-09-17 |
| Street Address |
3482 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254313 | Boulder County Public Health | Public Health or Welfare | 3482 Broadway St, Boulder, CO 80304-1824 | 2005-06-09 |
| 1629675921 | Lillian Sutcliffe | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2020-10-08 |
| 1831706753 | Robert Fredrick Jenkins | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2020-09-24 |
| 1477169175 | Susan Lynn Humphrey | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2020-09-17 |
| 1578035705 | Billie Engler Hendry | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2018-12-28 |
| 1255802120 | Francesa Weinberg | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2018-12-17 |
| 1952897480 | County of Boulder Commissioners | Health Educator | 3482 Broadway St, Boulder, CO 80304-1824 | 2018-07-09 |
| 1215435557 | Patricia Murphy | Dietitian, Registered | 3482 Broadway St, Boulder, CO 80304-1824 | 2018-01-31 |
| 1831604685 | Melissa Pruitt | Health Educator | 3482 Broadway St, Boulder, CO 80304-1824 | 2017-12-01 |
| 1659890077 | Mary Faltynski | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| 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 |
|---|---|---|---|---|
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1295252781 | James Travis Kuster | Registered Nurse | 1100 Balsam Ave Fl 3, Boulder, CO 80304-3404 | 2017-08-24 |
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1215394820 | Indizo Star Moon Welch | Registered Nurse | 1605 Cedar Ave, Boulder, CO 80304-3119 | 2016-01-27 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1942607825 | Ashley Simone Love | Registered Nurse | 4801 Riverbend Rd # 300, Boulder, CO 80301-2613 | 2014-11-20 |
| 1952700379 | Jamie Marie Cribbs | Registered Nurse | 4744 Ashfield Dr, Boulder, CO 80301-4016 | 2014-08-21 |
| 1427464239 | Kristine Marie Serrano | Registered Nurse | 7338 Clubhouse Rd, Boulder, CO 80301-3726 | 2014-07-01 |
| 1134533656 | Jenna Levy | Registered Nurse | 2951 Shady Holw E, Boulder, CO 80304-2974 | 2014-06-12 |
| Find all providers in BOULDER | ||||
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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.