TRACY LYNN NELSON (NPI# 1346499738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346499738 |
| Entity Type | Individual |
| Full Name | TRACY LYNN NELSON |
| Other Name | TRACY L BECKER |
| Credential | APNP |
| Practice Address |
2923 W Layton Ave Greenfield WI 53221-2626 |
| Practice Telephone | 4143288050 |
| Practice Fax Number | 4143288054 |
| Mailing Telephone | 4143288050 |
| Mailing Fax Number | 4143288054 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
116517-30 | WI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3486-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN RN LICENSE NUMBER | 116517 | 01 |
| WI | 36095200 | 05 | |
| WI | WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER LICENSE | 3486-033 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025409 | Tracy Zaneta Nelson | In Home Supportive Care | 5624 7th Ave, Fort Myers, FL 33907-2927 | 2017-10-25 |
| 1467855015 | Tracy Nelson | Behavioral Analyst | 32351 Lodgepole Dr, Evergreen, CO 80439-6649 | 2014-09-26 |
| 1356445696 | Tracy Dawn Nelson | Obstetrics & Gynecology | 8203 Nigels Dr, Suite 100, Myrtle Beach, SC 29572-4177 | 2006-09-08 |
| 1932726940 | Tracy Nelson | Behavior Technician | 201 International Cir Ste 230, Hunt Valley, MD 21030-1344 | 2020-06-26 |
| 1417499229 | Tracy Nelson | Occupational Therapy Assistant | 101 Manning Dr, Unc Hospitals Rehab Therapy Department, Chapel Hill, NC 27514-4220 | 2016-11-10 |
| 1912373523 | Tracy Nelson | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-08-18 |
| 1487099354 | Tracy Nelson | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2013-05-06 |
| 1437492766 | Tracy Nelson | Licensed Practical Nurse | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-04-04 |
| 1245579861 | Tracy Lee Nelson | Physical Therapist | 2511 N John Young Pkwy, Kissimmee, FL 34741-1653 | 2013-02-01 |
| 1841507134 | Tracy Nelson | Speech-Language Pathologist | 197 Martin Rd, Jamestown, NY 14701-9224 | 2010-09-08 |
| Street Address |
2923 W LAYTON AVE |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53221-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104887223 | Vernon Dale Casterline | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-03-29 |
| 1609003557 | Elizabeth Nord Fahrenbach | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2009-06-18 |
| 1164458741 | Layton Avenue Dermatology Associates, S.c. | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-06-24 |
| 1215992979 | Melissa D Mcguire | Emergency Medicine | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-18 |
| 1770546053 | James Edward Ethington | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689704 | Kayla Ann Jens | Nurse Practitioner | 8575 W Forest Home Ave Ste 170, Greenfield, WI 53228-3469 | 2019-10-07 |
| 1265093348 | Erica M Landgraf | Nurse Practitioner | 8585 W Forest Home Ave Ste 200, Greenfield, WI 53228-3467 | 2019-06-27 |
| 1649749052 | Hancock Health Gateway Services, Inc. | Nurse Practitioner | 6189 John L. Modglin Dr, Suite 101, Greenfield, IN 46140-9364 | 2018-11-14 |
| 1649755539 | Samantha Lewis Rausch | Nurse Practitioner | 3799 N 50 E, Greenfield, IN 46140-8626 | 2018-09-26 |
| 1285128454 | Linzi Aileen Horine | Nurse Practitioner | 1317 N State St, Greenfield, IN 46140-1026 | 2018-06-20 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1184037681 | Teresa Anne Johnson | Nurse Practitioner | 105 N Grand St Ste 2, Greenfield, MO 65661-8198 | 2014-06-03 |
| 1093982944 | Karen S Hummel | Nurse Practitioner | 124 W Muskegon Dr, Greenfield, IN 46140-3069 | 2008-05-09 |
| 1740320035 | Jessica Zemlak | Nurse Practitioner | 4296 South 76th Street, Greenfield, WI 53220 | 2007-02-07 |
| 1902901176 | Lauretta M Britz | Nurse Practitioner | 105 N. Grand, #2, Greenfield, MO 65661-0367 | 2006-09-13 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 53221 |
Please comment or provide details below to improve the information on TRACY LYNN NELSON.
| 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.