TRACY E MULLINS (NPI# 1417908526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417908526 |
| Entity Type | Individual |
| Full Name | TRACY E MULLINS |
| Other Name | TRACY E RITCHIE |
| Credential | NP |
| Practice Address |
2512 E Dupont Rd Suite 100 Fort Wayne IN 46825-1675 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604366667 |
| Practice Fax Number | 2604697437 |
| Mailing Telephone | 2609691950 |
| Mailing Fax Number | 2609182137 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71002116A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200821790 | 05 | |
| OH | 2734376 | 05 | |
| IN | ANTHEM BC/BS | 000000530707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760726152 | Tracy Mullins | Physical Therapy Assistant | 303 N Hurstbourne Parkeway, Suite 200, Lousiville, KY 40222 | 2012-11-26 |
| 1285656702 | Tracy Anne Mullins | Speech-Language Pathologist | 5409 Douglas Firr Ct, Cincinnati, OH 45247-7445 | 2006-07-24 |
| 1396164257 | Tracy M Mullins | Physical Therapy Assistant | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2014-04-08 |
| 1306104401 | Tracy Mullins | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-26 |
| 1225121429 | Tracy Mullins | Occupational Therapist | 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 | 2006-10-02 |
| 1396797130 | Tracy Mullins | Physical Therapist | 2412 W Andrew Johnson Hwy, Morristown, TN 37814-3276 | 2006-05-17 |
| Street Address |
2512 E DUPONT RD SUITE 100 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795852 | Mark Daniel Dabagia | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2005-07-29 |
| 1790021814 | Dawn M. Labarbera | Physician Assistant | 2512 E Dupont Rd, Suite 210, Fort Wayne, IN 46825-1609 | 2012-12-18 |
| 1851640155 | Sarah E Slocum | Registered Nurse | 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 | 2012-08-31 |
| 1871808923 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2010-08-13 |
| 1477864239 | Sarah Anne Brady | Nurse Practitioner | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2010-06-27 |
| 1275770802 | Sara L Speith | Registered Nurse | 2512 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 | 2009-01-20 |
| 1972638955 | Northeast Indiana Urology, P.C. | Durable Medical Equipment & Medical Supplies | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2007-02-22 |
| 1841222452 | George L Martin | Urology | 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 | 2006-07-06 |
| 1619920295 | Northeast Indiana Urology, PC | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2006-05-18 |
| 1356300198 | Terri Ann Cordes | Physician Assistant | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 |
|---|---|---|---|---|
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1225668312 | Kathleen Vanderreyden | Nurse Practitioner | 3005 E State Blvd, Fort Wayne, IN 46805-4736 | 2020-01-17 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1275980690 | April Anderson | Nurse Practitioner | 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 | 2016-05-16 |
| 1922470970 | Jennifer Carol Littke | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2015-10-28 |
| 1275956054 | Andrea N Lahrman | Nurse Practitioner | 11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845-1707 | 2014-01-29 |
| 1417213729 | Laura Beth Baker | Nurse Practitioner | 5750 Falls Drive, Fort Wayne, IN 46804-7147 | 2012-04-11 |
| 1447572441 | Kathryn L Smith | Nurse Practitioner | 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 | 2010-02-18 |
| 1316180144 | Braden M Butterfield Mckinley | Nurse Practitioner | 2101 E Coliseum Blvd Rm 234, Fort Wayne, IN 46805-1445 | 2009-04-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.