TRACI THORNSBURY (NPI# 1407209299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407209299 |
| Entity Type | Individual |
| Full Name | TRACI THORNSBURY |
| Credential | APRN |
| Practice Address |
184 E 2nd Ave Ste 210 Williamson WV 25661-3602 |
| Mailing Address |
Po Box 2080 Williamson WV 25661-2080 |
| Practice Telephone | 3042365902 |
| Mailing Telephone | 3042365902 |
| Mailing Fax Number | 8554874047 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010473 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100443080 | 05 |
| Street Address |
184 E 2ND AVE STE 210 |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839560 | Vicki Lynn Hatfield | Nurse Practitioner | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2006-05-19 |
| 1336644111 | Durand Warren | Counselor | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2018-03-26 |
| 1255705760 | Deborah Gail Epling | Nurse Practitioner | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2015-11-20 |
| 1861805194 | Sandra L Cox | Counselor | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2014-06-04 |
| 1033257118 | Eric David Chico | Family Medicine | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622024 | Heather Rose Pryor | Nurse Practitioner | 4225 Old Ridge Rd, #100, Williamson, NY 14589 | 2017-07-20 |
| 1497134308 | Eva White | Nurse Practitioner | 1070 County Farm Rd, Williamson, GA 30295 | 2015-05-26 |
| 1033771654 | Chasity Jacquel Myrthil | Nurse Practitioner | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2019-07-03 |
| 1700354826 | Amanda Jo Varney | Nurse Practitioner | 183 E 2nd Ave, Williamson, WV 25661-3601 | 2018-11-06 |
| 1255705760 | Deborah Gail Epling | Nurse Practitioner | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2015-11-20 |
| 1477939825 | Kimberly N Bogar | Nurse Practitioner | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2015-08-08 |
| 1255748166 | Sidney Jerome Cline | Nurse Practitioner | 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | 2014-07-14 |
| 1922358852 | Hope J Monje | Nurse Practitioner | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2012-09-18 |
| 1427323641 | Traci Lynn Booth | Nurse Practitioner | 184 E 2nd Ave Ste 1, Williamson, WV 25661-3602 | 2012-03-21 |
| 1245302546 | Maureen Vancura | Nurse Practitioner | 4425 Old Ridge Rd, The Commons, Williamson, NY 14589-9363 | 2006-11-14 |
| Find all providers in WILLIAMSON | ||||
| City | WILLIAMSON |
| Zip Code | 25661 |
Please comment or provide details below to improve the information on TRACI THORNSBURY.
| 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.