TRACY NIX (NPI# 1417491093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417491093 |
| Entity Type | Individual |
| Full Name | TRACY NIX |
| Practice Address |
4410 W 49th Ave Hobart IN 46342-3744 |
| Mailing Address |
388 Pinewood Dr Valparaiso IN 46385-8473 |
| Practice Telephone | 2604669170 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006504A; 71006 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497257174 | Tracy Nix | Speech-Language Pathologist | 2089 Teron Trce Ste 102, Dacula, GA 30019-1609 | 2018-03-08 |
| Street Address |
4410 W 49TH AVE |
| City | HOBART |
| State | IN |
| Zip Code | 46342-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1902363864 | Leslie Allen | Occupational Therapy Assistant | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2019-02-27 |
| 1366909871 | Abigail E Valentino | Physical Therapy Assistant | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2019-02-21 |
| 1174867212 | Dorothy Marie George | Occupational Therapy Assistant | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2012-11-15 |
| 1255675450 | Natalie Kaye Rodriguez | Physical Therapy Assistant | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2012-11-12 |
| 1801140454 | Jacqueline Rife | Speech-Language Pathologist | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2012-11-05 |
| 1639482938 | Carlos Adolfo Dejesus | Physical Therapist | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2010-07-15 |
| 1770817207 | Arsenio Eugenio Favor IIi | Physical Therapist | 4410 W 49th Ave, Hobart, IN 46342-3744 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| 1376607275 | Vision Point | Technician/Technologist | 7812 E. 37th Avenue, Hobart, IN 46342 | 2006-12-22 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117673 | Katheryn Dee Ziron | Nurse Practitioner | 7781 E Ridge Rd Ste B, Hobart, IN 46342-2487 | 2020-02-28 |
| 1225510951 | Stacy Lynn Taylor | Nurse Practitioner | 2211 E 10th St # Street14, Hobart, IN 46342-5313 | 2018-08-29 |
| 1568943231 | Shanon Lee Mekola | Nurse Practitioner | 6195 Marcella Blvd, Hobart, IN 46342-0040 | 2018-08-22 |
| 1841455318 | Julie Hatch Burk | Nurse Practitioner | 2211 E 10th St, Brickie Community Health Clinic, Hobart, IN 46342-5313 | 2008-07-24 |
| 1437155694 | Amy F Sims | Nurse Practitioner | 407 W Forest Ln, Hobart, OK 73651-1645 | 2005-06-22 |
| 1780297457 | Banesa Chavez | Nurse Practitioner | 6195 Marcella Blvd, Hobart, IN 46342-0040 | 2020-08-24 |
| 1063042513 | Jillian Rose Finley | Nurse Practitioner | 174 Bracken Pkwy, Hobart, IN 46342-6789 | 2020-01-23 |
| 1275006819 | Courtney Miller | Nurse Practitioner | 7875 Grand Blvd, Hobart, IN 46342-6665 | 2019-01-07 |
| 1689145567 | Christina M Korem | Nurse Practitioner | 320 W 61st Ave, Hobart, IN 46342-6490 | 2018-12-17 |
| 1255816567 | Victoria Tiemens | Nurse Practitioner | 101 W 61st Ave, Hobart, IN 46342-6449 | 2018-10-02 |
| Find all providers in HOBART | ||||
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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.