TRACEY M WILLIAMS (NPI# 1285100784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285100784 |
| Entity Type | Individual |
| Full Name | TRACEY M WILLIAMS |
| Practice Address |
13200 S 1601 E Draper UT 84020 |
| Practice Telephone | 3852559117 |
| Mailing Telephone | 3852559117 |
| Mailing Fax Number | 8014328716 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
4848969-6006 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908356 | Tracey Lynne Williams | Social Worker | 8312 Governor Grayson Way, Ellicott City, MD 21043-3450 | 2020-06-29 |
| 1457918401 | Tracey Kimbely Williams | Counselor | 7450 Colts Neck Rd, Mechanicsville, VA 23111-4234 | 2019-05-24 |
| 1457750127 | Tracey L. Williams | Social Worker | 6 Emerald Run, Ocala, FL 34472-2331 | 2014-08-19 |
| 1124231295 | Tracey M Williams | Counselor | 5204 Wild Horse Ct, Arlington, TX 76017-2046 | 2007-05-07 |
| 1649311192 | Tracey Williams | Specialist | 14090 Hg Trueman Road, Solomons, MD 20688 | 2007-02-09 |
| 1710587191 | Tracey Lynn Williams | Pharmacist | 109 22nd St, Hondo, TX 78861-2514 | 2020-10-27 |
| 1265063622 | Tracey Williams | Clinic/Center | 55 S State Ave, Indianapolis, IN 46201-3802 | 2020-02-03 |
| 1225593163 | Tracey Williams | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-02-05 |
| 1447752084 | Tracey Williams | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-28 |
| 1588118251 | Tracey Williams | Nurse Practitioner | 847 Squirrel Hollow Dr, Linden, TN 37096-6479 | 2016-08-10 |
| Street Address |
13200 S 1601 E |
| City | DRAPER |
| State | UT |
| Zip Code | 84020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| 1558876961 | Corner Canyon Recovery, LLC | Clinic/Center | 1450 E Pioneer Rd, Draper, UT 84020 | 2017-12-07 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151033 | Casadee Yvonne Hudson | Psychologist | 2600 N Main St Ste 200, North Logan, UT 84341-1510 | 2019-08-30 |
| 1962054775 | Kenneth Newell | Psychologist | 640 S 1200 W, Orem, UT 84058-5972 | 2019-07-11 |
| 1003323767 | Pure Life Ptg | Psychologist | 7390 S Creek Rd Ste 202, Sandy, UT 84093-6123 | 2018-01-03 |
| 1508211285 | Andrea Lindsay-shaffer | Psychologist | 1630 E Edgecliff Dr, Sandy, UT 84092-4309 | 2016-04-29 |
| 1265899009 | Silver Peak Medical LLC | Psychologist | 1817 S Main St Ste 8, Salt Lake City, UT 84115-7060 | 2016-01-25 |
| 1770502379 | Mark D. Worthen | Psychologist | 1182 Center Dr Ste D160, Park City, UT 84098-1287 | 2006-07-18 |
| 1134586654 | Randy K Moss | Psychologist | 447 N 300 W, Kaysville, UT 84037-4203 | 2016-01-28 |
| 1417321803 | Brighton Medical Group | Psychologist | 1275 E Fort Union Blvd, Suite 202, Cottonwood Heights, UT 84047-1895 | 2015-11-23 |
| 1346670221 | Sadie Alexandra Young | Psychologist | 344 East 100 South, Ste 301, Salt Lake City, UT 84111 | 2013-11-14 |
| 1194070276 | University of Utah | Psychologist | 450 S 900 E, Suite 300, Salt Lake City, UT 84102-2981 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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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.