MRS. DARLA K. TRACY (NPI# 1386908549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386908549 |
Entity Type | Individual |
Full Name | MRS. DARLA K. TRACY |
Credential | CPHA |
Practice Address |
202 N Bline Blvd Robinson IL 62454-1264 |
Mailing Address |
7712 E Westlake Dr Robinson IL 62454-4879 |
Practice Telephone | 6185448798 |
Mailing Telephone | 6185449273 |
Enumeration Date | 2012-07-02 |
Last Update Date | 2012-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
041-194691 | IL | Nursing Service Providers |
Street Address |
202 N BLINE BLVD |
City | ROBINSON |
State | IL |
Zip Code | 62454-1264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437214327 | Crawford County Health Department | Public Health or Welfare | 202 N Bline Blvd, Robinson, IL 62454-1264 | 2006-12-22 |
1013262914 | Board Members-crawford County Government | Public Health or Welfare | 202 N Bline Blvd, Robinson, IL 62454-1264 | 2012-07-17 |
1629332945 | Terry Shaffer | Registered Nurse | 202 N Bline Blvd, Robinson, IL 62454-1264 | 2012-07-02 |
1275897423 | Rhonda Lynn Simpson | Registered Nurse | 202 N Bline Blvd, Robinson, IL 62454-1264 | 2012-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437555687 | Jeffrey A. Veley Jr. | Hearing Instrument Specialist | 101 Court Street, Audibel Hearing Aids, Robinson, IL 62454 | 2014-11-17 |
1548677503 | Peggy Hamilton | Physical Therapy Assistant | 600 Robinwood Drive, Heritage Health, Therapy, and Senior Care, Robinson, IL 62454 | 2014-07-22 |
1447499678 | Judith Medsker | Counselor | 204 West Highland, Robinson, IL 62454 | 2009-02-11 |
1699939165 | Pat L Mcmillan | Dentist | 708 W Craft, Robinson, IL 62454 | 2008-07-15 |
1700064268 | South Eastern Illinois Counseling Center Inc | Case Management | 204a W. Highland, Robinson, IL 62454 | 2008-02-07 |
1831387687 | Rose M Agan | Counselor | 204a West Highland Ave., Robinson, IL 62454 | 2007-10-05 |
1376731125 | Brenda Wampler | Counselor | 204 W Highland Ave Ste A, Robinson, IL 62454 | 2007-10-05 |
1134315492 | Stephen M. Lathrop | Durable Medical Equipment & Medical Supplies | 1106 N. Allen St., Ste. A, Robinson, IL 62454 | 2007-09-20 |
1699893032 | David Alan Llewellyn | Dentist | 208 East Pine St, Robinson, IL 62454 | 2007-03-26 |
1457424632 | Tlc Foot Doc, Ltd | Podiatrist | 1000 N. Allen Street, Cmh-consulting Clinic, Robinson, IL 62454 | 2006-11-16 |
Find all providers in zip 62454 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
1255811964 | Charles Robert Sanders | Registered Nurse | 118 Timber Trl, Carterville, IL 62918-2377 | 2018-08-21 |
1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
1396978441 | Karen Kelly | Registered Nurse | Campus Box 1066, Southern Illinois University Edwardsville, Edwardsville, IL 62026-1066 | 2009-08-24 |
1447490305 | Marc Emile Hallez | Registered Nurse | 1630 W Congress Parkway, Rush Health Associates, Chicago, IL 60612 | 2009-03-04 |
1205001641 | Linda F Samson | Registered Nurse | 20676 Francisca Way, Frankfort, IL 60423-3126 | 2008-04-28 |
1255504155 | Joyce N Onyenso | Registered Nurse | 1037 Monterey Ct, University Park, IL 60466 | 2008-04-11 |
1043491210 | Barbara Ann Finnie | Registered Nurse | 400 South Main Cross Street, Galatia, IL 62935 | 2007-11-16 |
1457564874 | Susan Marie Quillin | Registered Nurse | The Association for Individual Development (aid), 309 New Indian Trail Court, Aurora, IL 60506-2494 | 2007-05-08 |
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.