TRACY LARSEN (NPI# 1366762080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366762080 |
| Entity Type | Individual |
| Full Name | TRACY LARSEN |
| Credential | FNP-BC |
| Practice Address |
1401 Gateway Blvd Rock Springs WY 82901-6717 |
| Mailing Address |
1357 Teton St Rock Springs WY 82901-7333 |
| Practice Telephone | 3073626641 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19929 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598386716 | Tracy J Larsen | Pharmacist | 13601 Kenton Ave, Crestwood, IL 60418-1938 | 2020-04-28 |
| 1407277189 | Tracy Brent Larsen | Nurse Anesthetist, Certified Registered | 2615 Chester Ave, Bakersfield, CA 93301-2014 | 2013-12-23 |
| Street Address |
1401 GATEWAY BLVD |
| City | ROCK SPRINGS |
| State | WY |
| Zip Code | 82901-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551574 | Sheridan Vamc | Clinic/Center | 1401 Gateway Blvd, Rock Springs, WY 82901-6786 | 2007-07-18 |
| 1720479702 | Kelsey E Ellis | Physical Therapist | 1401 Gateway Blvd, Suite 2, Rock Springs, WY 82901-6717 | 2015-02-11 |
| 1841457280 | Karen Macdonald | Specialist | 1401 Gateway Blvd, Suite 2, Rock Springs, WY 82901-6786 | 2008-05-22 |
| 1588846919 | Michelle Cook | Physical Therapist | 1401 Gateway Blvd, Suite 2, Rock Springs, WY 82901-6717 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094043 | Carol Mary Iverson | Naturopath | 120 Winston Dr., Ste. 101, Rock Springs, WY 82901 | 2020-02-12 |
| 1366098691 | Nolan Jeffres | Dentist | 1151 Gateway Blvd, Suite 102, Rock Springs, WY 82901 | 2019-08-13 |
| 1588149181 | Ali Pendleton | Case Manager/Care Coordinator | 79 Winston #235, Rock Springs, WY 82901 | 2018-09-28 |
| 1982142014 | Tammy Fausett | Speech-Language Pathologist | 1105 Applewood Drive, Rock Springs, WY 82901 | 2017-02-09 |
| 1649713983 | Lori Lee Cunningham | Case Manager/Care Coordinator | 325 Archers Trl, Rock Springs, WY 82901 | 2016-11-18 |
| 1841664505 | Theresa Morrison | Case Manager/Care Coordinator | 308 Peak Road, Rock Springs, WY 82901 | 2015-11-18 |
| 1811376478 | Aspen Mountain Medical Center LLC | General Acute Care Hospital | 4401 College Ave, Rock Springs, WY 82901 | 2015-05-28 |
| 1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
| 1114201845 | Cowboy Urgent Care, Inc | General Practice | 1453-a Dewar Drive, Rock Springs, WY 82901 | 2011-09-29 |
| 1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
| Find all providers in zip 82901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902146228 | Angela Slinden | Nurse Practitioner | 706 Elk St., Rock Springs, WY 82901-4753 | 2013-02-23 |
| 1952627978 | Teresa N Leblanc | Nurse Practitioner | 1453 Dewar Dr, Rock Springs, WY 82901 | 2010-04-15 |
| 1013090554 | Laura J Heitz | Nurse Practitioner | 2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 | 2006-10-20 |
| 1225030521 | Jacquelyn M Barnhart | Nurse Practitioner | 1180 College Dr, Rock Springs, WY 82901-5863 | 2005-06-01 |
| 1366903445 | Mandy Jarvis | Nurse Practitioner | 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 | 2019-03-29 |
| 1710337217 | New Frontier Imaging, LLC | Nurse Practitioner | 2620 Commercial Way, Suite 110, Rock Springs, WY 82901 | 2016-06-15 |
| 1003287947 | Dana Grenier | Nurse Practitioner | 2706 Ankeny Way, Rock Springs, WY 82901-5649 | 2015-10-19 |
| 1083806111 | Total Family Health, PC | Nurse Practitioner | 2620 Commercial Way, Suite 051, Rock Springs, WY 82901-4755 | 2007-08-13 |
| 1356533657 | Sharlotte Jane Shore | Nurse Practitioner | 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 | 2007-08-10 |
| 1295830743 | Louanna Marie Bradley | Nurse Practitioner | 3000 College Dr, Suite A, Rock Springs, WY 82901-4202 | 2006-09-13 |
| Find all providers in ROCK SPRINGS | ||||
| City | ROCK SPRINGS |
| Zip Code | 82901 |
Please comment or provide details below to improve the information on TRACY LARSEN.
| 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.