TRACY OLIVER MARTIN (NPI# 1275725582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275725582 |
| Entity Type | Individual |
| Full Name | TRACY OLIVER MARTIN |
| Other Name | TRACY OLIVER |
| Credential | NP |
| Practice Address |
3410 Worth St Ste 300 Dallas TX 75246-2012 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2143701500 |
| Practice Fax Number | 2143701512 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP119253 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
696910 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 220811802 | 05 | |
| CO | 73237264 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528453404 | Tracy M Martin | Nurse Practitioner | 108 Calhoun St, Cincinnati, OH 45219-1527 | 2015-03-30 |
| 1275875270 | Tracy Robin Martin | Dentist | 7721 Fontaine St, Potomac, MD 20854-3304 | 2013-03-18 |
| 1508189176 | Tracy E Martin | Counselor | 7700 N 2nd St, Machesney Park, IL 61115-2872 | 2010-03-10 |
| 1811143902 | Tracy Elizabeth Martin | Specialist | 719 E 74th Ave, Anchorage, AK 99518-2828 | 2008-08-08 |
| 1053531855 | Tracy Lea Martin | Counselor | 109 S Harrill, Eri, Wagoner, OK 74467 | 2007-04-26 |
| 1538274246 | Tracy Nguyen Martin | Dentist | 5800 Bellaire Blvd Ste 110, Houston, TX 77081-5537 | 2006-08-20 |
| 1346847282 | Tracy Renee Martin | Case Manager/Care Coordinator | 1507 E Race Ave, Searcy, AR 72143-4661 | 2020-10-05 |
| 1841758315 | Tracy Lee Martin | Physical Therapist | 4233 Gateway Blvd Ste 201, Newburgh, IN 47630-8900 | 2019-03-04 |
| 1598234437 | Tracy Lynn Martin | Nurse Practitioner | 725 North St, Pittsfield, MA 01201-4109 | 2018-11-21 |
| 1942791769 | Tracy Martin | Student in an Organized Health Care Education/Training Program | 671 Hoes Ln W # D325, Piscataway, NJ 08854-8021 | 2018-05-29 |
| Street Address |
3410 WORTH ST STE 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679784524 | Nebu V Koshy | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2007-05-24 |
| 1720331440 | Dyney Joseph | Nurse Practitioner | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2012-10-18 |
| 1164656435 | Jana Marie Reynolds | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2009-05-14 |
| 1306047428 | Carolina Escobar | Internal Medicine | 3410 Worth St Ste 300, Dallas, TX 75246-2012 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1407469125 | Ashley Johnson Nakwaasah | Nurse Practitioner | 14650 Landmark Blvd Apt 1508, Dallas, TX 75254-6932 | 2020-08-24 |
| 1881229359 | Laura Karmann | Nurse Practitioner | 1515 S Buckner Blvd Ste 141, Dallas, TX 75217-1794 | 2020-03-05 |
| 1659902120 | Alegntaye Yirdaw | Nurse Practitioner | 2709 S Buckner Blvd, Dallas, TX 75227-6904 | 2020-02-03 |
| 1154964047 | Jessica Maria Scarf | Nurse Practitioner | 13907 Montfort Dr Apt 2031, Dallas, TX 75240-7374 | 2019-10-23 |
| 1447893565 | Mallory Lynn Mcgroarty | Nurse Practitioner | 3500 Oak Lawn Ave Ste 760, Dallas, TX 75219-4308 | 2019-10-21 |
| 1720563539 | Heather Inkman Kinder | Nurse Practitioner | 16619 Vicarage Ct, Dallas, TX 75248-2227 | 2018-09-27 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1922594902 | Susan Markose | Nurse Practitioner | 3310 Anchor Ct, Dallas, TX 75219-2752 | 2018-07-02 |
| Find all providers in DALLAS | ||||
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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.