MRS. TRACY LEIGH LOWRY (NPI# 1407122179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407122179 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LEIGH LOWRY |
| Credential | FNP-C |
| Practice Address |
1101 Jackson St Sw Gravette AR 72736-9121 |
| Practice Telephone | 4797875221 |
| Practice Fax Number | 4797875613 |
| Mailing Telephone | 4797875221 |
| Mailing Fax Number | 4797875613 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2012005448 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Main St, Noel, MO 648549124 | 4174756559 |
| Street Address |
1101 JACKSON ST SW |
| City | GRAVETTE |
| State | AR |
| Zip Code | 72736-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151408 | Ashley Kent Stone | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-02-06 |
| 1649878042 | Kayla Lorraine Bradford | Social Worker | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2020-10-16 |
| 1184284473 | Gregory Scott Forrester | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2019-06-18 |
| 1912422486 | Carla Sawatski Cheek | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1831614312 | Samantha Jean Eaton | Physical Therapy Assistant | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1336664812 | Amber Michelle Karr | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1699039610 | Vijay Kumar Kannam | Family Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-06-25 |
| 1780943357 | Sgoh Acquisition Inc | Medicare Defined Swing Bed Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-05-16 |
| 1144519570 | Rhonda Renee Pauls | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2011-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961322 | Ty D Russell | Chiropractor | 207 Atlanta Street S.e., Gravette, AR 72736 | 2010-09-13 |
| 1558673285 | Joy Ann Coonfield | Midwife, Lay | 14195 Strawberry Ridge Road, Gravette, AR 72736 | 2010-07-10 |
| 1932305349 | City of Gravette | Ambulance | 309 1st Ave Nw, Gravette, AR 72736 | 2007-06-22 |
| 1669580163 | Arthur F Evans | Dentist | 1102 Jackson Sw, Gravette Mercy Medical Clinic Bldg, Gravette, AR 72736 | 2006-08-26 |
| 1962948380 | Adonia Holden-dunivan | Counselor | 1102 Jackson St Sw, Gravette, AR 72736 | 2017-01-09 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1073663001 | Gravette School District | Local Education Agency (LEA) | 609 Birmingham St Se, Gravette, AR 72736-8701 | 2007-01-11 |
| 1679649339 | Austin Drugs Inc | Pharmacy | 118 Main St Ne, Gravette, AR 72736-8719 | 2006-11-27 |
| 1649838335 | James Harold Austin | Pharmacist | 118 Main St Ne, Gravette, AR 72736-8719 | 2019-05-29 |
| 1730795451 | Bailey Boatright | Speech-Language Pathologist | 500 8th Ave Se, Gravette, AR 72736-8742 | 2020-09-17 |
| Find all providers in zip 72736 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1538117171 | Anita Marie Kane | Nurse Practitioner | 1102 Jackson St Sw, Gravette, AR 72736-9121 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
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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.