TRACEY HARRIS (NPI# 1447609540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447609540 |
| Entity Type | Individual |
| Full Name | TRACEY HARRIS |
| Other Name | TRACEY FYKSEN |
| Credential | NP |
| Practice Address |
265 Griffin St E Amery WI 54001-1439 |
| Practice Telephone | 7152688000 |
| Mailing Telephone | 7152688000 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
127981-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | AANP CERT | F0616090 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417396508 | Tracey Alison Harris | Pediatrics | 30 Medical Center Blvd, Pob 1, Suite 402 - Peds Residency, Chester, PA 19013-3955 | 2013-06-21 |
| 1174840177 | Tracey Harris | Massage Therapist | 45 Enon St, Beverly, MA 01915-1106 | 2010-04-29 |
| 1205093218 | Tracey Harris | Physical Therapy Assistant | 801 Greenhaven Dr, Greensboro, NC 27406-7103 | 2008-05-19 |
| 1659392322 | Tracey Lin Harris | Physical Therapist | 534 N 35th St, Ste D, Morehead City, NC 28557-3182 | 2006-07-21 |
| 1467429746 | Tracey Dionne Harris | Physical Medicine & Rehabilitation | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2006-03-04 |
| Street Address |
265 GRIFFIN ST E |
| City | AMERY |
| State | WI |
| Zip Code | 54001-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164520 | Dylan Coe | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2005-06-16 |
| 1659927069 | Amery Regional Medical Center, Inc | Clinic/Center | 265 Griffin St E, Amery, WI 54001-1439 | 2019-08-12 |
| 1588223994 | Hannah Sons | Speech-Language Pathologist | 265 Griffin St E, Amery, WI 54001-1439 | 2019-06-10 |
| 1679050801 | Jennifer Mae Stuhr | Pharmacist | 265 Griffin St E, Amery, WI 54001-1439 | 2018-07-20 |
| 1629592431 | Tyler Bo Krings | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-08-02 |
| 1669994737 | Tami Jo Buus | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-07-11 |
| 1487174157 | Lisa Anne Erickson | Nurse Practitioner | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-23 |
| 1306376447 | Courtney Dahl | Family Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-12 |
| 1770010712 | Jon Heimler | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-05-22 |
| 1700339280 | Priya Sury | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313424 | Heather Rose Marks | Dentist | 1030 Riverplace Drive, Amery, WI 54001 | 2011-06-14 |
| 1003142803 | Linda Christine Mueller | Counselor | 236 Griffin, Amery, WI 54001 | 2009-10-29 |
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1578753448 | Bethann M Monson | Occupational Therapy Assistant | 220 N Keller Avene, Amery, WI 54001 | 2007-07-27 |
| 1912109851 | Jill R. Ladwig | Physical Therapy Assistant | 220 Keller Avenue, Amery, WI 54001 | 2007-06-04 |
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1093873390 | Jessica L Bradford | Occupational Therapist | 505 Keller Ave Sq, Amery, WI 54001 | 2006-12-05 |
| 1548354244 | A Touch of Life Inc. | Chiropractor | 308 North Keller Avenue, Amery, WI 54001 | 2006-10-03 |
| 1568566057 | Douglas D Podoll Dds Dc | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2006-09-12 |
| 1932469475 | Amy E. Stoesz | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2012-05-17 |
| Find all providers in zip 54001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487174157 | Lisa Anne Erickson | Nurse Practitioner | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-23 |
| 1780036830 | Sabrina L. Meddaugh | Nurse Practitioner | 265 Griffin St E, Amery, WI 54001-1439 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.