MRS. TRACY JESSICA RAPP (NPI# 1427555838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427555838 |
| Entity Type | Individual |
| Full Name | MRS. TRACY JESSICA RAPP |
| Credential | ARNP |
| Practice Address |
1051 Port Malabar Blvd Ne Ste 6 Palm Bay FL 32905-5153 |
| Practice Telephone | 3217279063 |
| Practice Fax Number | 3217281955 |
| Mailing Telephone | 3217279063 |
| Mailing Fax Number | 3217281955 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9319991 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214347000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720451545 | Tracy W Rapp | Nurse Practitioner | 3473 Poplar Ave Ste 103, Memphis, TN 38111-4654 | 2015-11-02 |
| Street Address |
1051 PORT MALABAR BLVD NE STE 6 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558370 | Marisol Wilke | Nurse Practitioner | 2696 Tolman Ave Se, Palm Bay, FL 32909-7220 | 2020-11-05 |
| 1881204329 | Teige Jeanette Ballweber | Nurse Practitioner | 2018 Windbrook Dr Se, Palm Bay, FL 32909-6838 | 2020-08-07 |
| 1366888422 | Kristie M Houle | Nurse Practitioner | 3238 Warsaw Ave, Palm Bay, FL 32909 | 2013-05-16 |
| 1215554746 | Dawn Ann Stewart-brown | Nurse Practitioner | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2020-06-30 |
| 1770128530 | Natalie Swartz | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-11-15 |
| 1235784687 | Michelle Swann | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909-6831 | 2019-08-02 |
| 1104488337 | Rose Philius | Nurse Practitioner | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2019-07-09 |
| 1659839579 | Crystal Gail Ault | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909 | 2019-03-10 |
| 1255803631 | Kristine Marie Isnardi | Nurse Practitioner | 1810 Eldron Blvd Se, Palm Bay, FL 32909 | 2018-12-22 |
| 1467932525 | Lisa Baker | Nurse Practitioner | 5205 Babcock St Ne, Palm Bay, FL 32905-4638 | 2018-08-17 |
| Find all providers in PALM BAY | ||||
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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.