DR. TRACEY HOLSINGER (NPI# 1457310468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457310468 |
Entity Type | Individual |
Full Name | DR. TRACEY HOLSINGER |
Credential | MD |
Practice Address |
508 Fulton St Durham Va Medical Center, Mail Station 116a Durham NC 27705-3875 |
Practice Telephone | 9192860411 |
Practice Fax Number | 9194165832 |
Mailing Telephone | 9192860411 |
Mailing Fax Number | 9194165832 |
Enumeration Date | 2006-03-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
9300717 | NC | Allopathic & Osteopathic Physicians |
Street Address |
508 FULTON ST DURHAM VA MEDICAL CENTER, MAIL STATION 116A |
City | DURHAM |
State | NC |
Zip Code | 27705-3875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144533944 | Geriatric Neuropsychiatry Services, Pllc | Psychiatry & Neurology | 5407 Sky Lane Dr, Durham, NC 27704-3953 | 2010-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447753777 | Pyb, PC | Psychiatry & Neurology | 1110 Se Cary Pkwy Ste 201, Cary, NC 27518-7420 | 2018-03-13 |
1053428441 | Jill Heath | Psychiatry & Neurology | 223 E Chestnut St Ste 4, Asheville, NC 28801-2480 | 2006-08-23 |
1952357949 | Thomas C Goodwin | Psychiatry & Neurology | 90 Southside Avenue, Suite 300, Asheville, NC 28801-4100 | 2006-05-25 |
1447213855 | Christopher Mark Mckinley | Psychiatry & Neurology | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2006-04-07 |
1801398805 | Kristin Mcarthur, Md, Pllc | Psychiatry & Neurology | 1250 Se Maynard Rd Ste 204, Cary, NC 27511-6947 | 2018-03-06 |
1548535107 | North Carolina Elderly Psychiatric | Psychiatry & Neurology | 606 Wade Ave, Raleigh, NC 27605-1390 | 2012-03-15 |
1184957201 | Justin Gettings | Psychiatry & Neurology | University of North Carolina, Cb# 7160, Chapel Hill, NC 27599-7160 | 2009-09-08 |
1649428848 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1904 Jake Alexander Blvd W, Suite 301, Salisbury, NC 28147-1178 | 2008-09-03 |
1669651667 | Rasheed A Onafuye | Psychiatry & Neurology | 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 | 2007-10-26 |
1376660191 | Rhonda Harris Stahl | Psychiatry & Neurology | 3900 Browning Pl, Suite 201, Raleigh, NC 27609-6508 | 2007-03-25 |
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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.