SHELLI D. TRACY (NPI# 1366983504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366983504 |
| Entity Type | Individual |
| Full Name | SHELLI D. TRACY |
| Other Name | SHELLI D. NOLEN |
| Credential | FNP |
| Practice Address |
1901 Medi Park Dr Ste 1048 Amarillo TX 79106-2108 |
| Practice Telephone | 8065764999 |
| Practice Fax Number | 8065891062 |
| Mailing Telephone | 8065764999 |
| Mailing Fax Number | 8065891062 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP133519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DR. JUSTIN AMARO (COLLABORATING PHYSICIAN) | 47-1253748 | 01 |
| Street Address |
1901 MEDI PARK DR STE 1048 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326267626 | Panhandle Physical Medicine and Rehabilitation, P.a. | Physical Medicine & Rehabilitation | 1901 Medi Park Dr Ste 1048, Amarillo, TX 79106-2108 | 2007-04-25 |
| 1447746649 | Brandy Nichole Dempsey | Nurse Practitioner | 1901 Medi Park Dr Ste 1048, Amarillo, TX 79106 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046932 | Eric Wayne Smith | Nurse Practitioner | 1200 Ross St Ste 100, Amarillo, TX 79102-4411 | 2020-09-01 |
| 1104485580 | Sojourner Lynn Bixler | Nurse Practitioner | 3300 I 40 E Ste 400, Amarillo, TX 79103-4801 | 2019-06-10 |
| 1831636034 | Ibbie Jeter | Nurse Practitioner | 4207 S Monroe St, Amarillo, TX 79110-2136 | 2017-01-25 |
| 1194985648 | Fmc Clinics II Pa | Nurse Practitioner | 14 Medical Dr, Amarillo, TX 79106-4165 | 2008-06-09 |
| 1881147353 | Marlene Ford | Nurse Practitioner | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-08-01 |
| 1699228585 | Aubrey Vaughn Johnson | Nurse Practitioner | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-07-27 |
| 1942467790 | Haven Health Clinics | Nurse Practitioner | 1 Medical Dr, Amarillo, TX 79106-4137 | 2008-05-20 |
| 1922052752 | Haven Health Clinics | Nurse Practitioner | 1 Medical Dr, Amarillo, TX 79106-4137 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| 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.