TRACY METULLY ROBERTS (NPI# 1396384301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396384301 |
| Entity Type | Individual |
| Full Name | TRACY METULLY ROBERTS |
| Credential | FNP-C |
| Practice Address |
16 Railway Ave Three Forks MT 59752-9080 |
| Mailing Address |
213 Crystal Ln Dillon MT 59725-7232 |
| Practice Telephone | 4062853251 |
| Mailing Telephone | 4066712633 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-APRN-LIC-155 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174135594 | Tracy Dawn Roberts | Technician | 2158 Fisher Ridge Rd, Kenna, WV 25248-9625 | 2020-08-18 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1952610057 | Tracy K Roberts | Speech-Language Pathologist | 7724 Patterson Ln, Pennsauken, NJ 08109-5607 | 2010-10-07 |
| 1689907651 | Tracy Lynn Roberts | Respiratory Therapist, Registered | 1150 John Sharp Rd, Spring Hill, TN 37174-2594 | 2009-09-09 |
| 1841472941 | Tracy Roberts | Speech-Language Pathologist | 756 Waterland Ct, Orlando, FL 32828-8116 | 2007-11-29 |
| 1972114866 | Tracy Rae Roberts | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-08-13 |
| 1588112916 | Tracy Rulaine Roberts | Counselor | 50 2nd St W, Suite 4, Whitefish, MT 59937-3064 | 2016-09-14 |
| 1578928768 | Tracy Anne Roberts | Physical Therapy Assistant | 1010 Longview Rd, Missouri Valley, IA 51555-1227 | 2015-12-15 |
| 1912224973 | Tracy Roberts | Marriage & Family Therapist | 9319 Taylorsville Rd, Louisville, KY 40299-1737 | 2010-04-29 |
| 1679755532 | Tracy Roberts | Counselor | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2007-12-03 |
| Street Address |
16 RAILWAY AVE |
| City | THREE FORKS |
| State | MT |
| Zip Code | 59752-9080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1003466822 | Bates Family Diversified, LLC | Family Medicine | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-09-13 |
| 1770135782 | Crystal Joy Marx | Nurse Practitioner | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-07-10 |
| 1659887412 | Sarah Helen Sentz | Nurse Practitioner | 16 Railway Ave, Box 1078, Three Forks, MT 59752-5975 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800454 | Three Forks School District #j24 | Local Education Agency (LEA) | 212 East Neal, Three Forks, MT 59752 | 2015-05-07 |
| 1376678037 | Three Forks Physical Therapy, Inc. | Clinic/Center | 203 S Main St., Three Forks, MT 59752 | 2007-02-22 |
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1447811146 | Emily Uhl Rothing | Physical Therapist | 203 S Main Street, Three Forks, MT 59752 | 2019-06-24 |
| 1093297202 | Alena R Mayer | Physical Therapy Assistant | 203 S Main St., Three Forks, MT 59752 | 2018-09-04 |
| 1013307842 | Jamie Lyn Demaray | Mechanotherapist | 119 Main Street, Three Forks, MT 59752 | 2015-02-02 |
| 1366713562 | Tina Cecilie Wambeke | Mechanotherapist | 119 S. Main St., Restoration Massage Therapy, LLC, Three Forks, MT 59752 | 2012-01-19 |
| 1942238001 | Laura Lower | Counselor | 7 Railway Ave., Three Forks, MT 59752-0462 | 2006-06-29 |
| 1699139386 | Montana Oxygen LLC | Durable Medical Equipment & Medical Supplies | 627 West Jefferson, Three Forks, MT 59752-0787 | 2016-04-08 |
| 1356471213 | Chad D Russell | Dentist | 123 Main St, Suite #1, Three Forks, MT 59752-0850 | 2007-03-07 |
| Find all providers in zip 59752 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1770135782 | Crystal Joy Marx | Nurse Practitioner | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114872 | Harold James Horine IIi | Nurse Practitioner | 43 Meadow Lark Ln, Deer Lodge, MT 59722-9540 | 2020-11-06 |
| 1073110268 | Heidi Kearns | Nurse Practitioner | 1038 3rd Ave E, Kalispell, MT 59901-5642 | 2020-10-01 |
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1518571686 | Megan Gittings Fnp-c Pllc | Nurse Practitioner | 55 W 14th St Ste 102, Helena, MT 59601-3387 | 2020-09-04 |
| 1528672979 | Melanie Funke | Nurse Practitioner | 272 Aswan Pl, Billings, MT 59105-2910 | 2020-09-02 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1629697784 | Stephani Conner | Nurse Practitioner | 604 Pine Pl, Whitefish, MT 59937-2362 | 2020-04-09 |
| 1518590645 | William Todd Wohlman | Nurse Practitioner | 3458 Baldwin Rd, Stevensville, MT 59870-2904 | 2020-02-17 |
| 1578104253 | Nora Caitlin Healy | Nurse Practitioner | 201 North 10th Street, Hamilton, MT 59840 | 2019-10-03 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
| City | THREE FORKS |
| Zip Code | 59752 |
Please comment or provide details below to improve the information on TRACY METULLY ROBERTS.
| 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.