MRS. TRACY J SHORE (NPI# 1477699965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477699965 |
| Entity Type | Individual |
| Full Name | MRS. TRACY J SHORE |
| Credential | MSN,APN,CPNP |
| Practice Address |
132 Franklin Corner Rd Lawrenceville NJ 08648-2523 |
| Mailing Address |
166 Fairview Rd Skillman NJ 08558-1513 |
| Practice Telephone | 6098963808 |
| Mailing Telephone | 6097128200 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NJ000228 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NJ00022800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
132 FRANKLIN CORNER RD |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386624864 | Steven Gary Safran | Specialist | 132 Franklin Corner Rd, Suite A1, Lawrenceville, NJ 08648-2523 | 2006-01-19 |
| 1104371434 | Andrea E Piscadlo | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2016-08-16 |
| 1699113308 | Elizabeth Hill | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2013-06-05 |
| 1811124746 | Eugene Shapiro | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2009-06-18 |
| 1295938454 | Dara Meredith Brecher | Dietitian, Registered | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2007-06-06 |
| 1639210040 | Steven G Safran Md,pa | Specialist | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2007-02-09 |
| 1518043769 | Linda Stevens | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-10-31 |
| 1396782256 | Delaware Valley Pediatric Associates, Pa | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-06-01 |
| 1114973351 | Deborah Yao | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-05-26 |
| 1356395594 | Julie B Halvorsen | Pediatrics | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750858056 | Amanda Bennett | Nurse Practitioner | 2000 Riverside Pkwy Ste 207, Lawrenceville, GA 30043-5926 | 2018-10-25 |
| 1306459250 | Erin Ashley Cox | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-08-28 |
| 1811511140 | Oanh Ngoc Thi Tran | Nurse Practitioner | 1155 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-5425 | 2020-06-02 |
| 1487168605 | Stephanie Jones | Nurse Practitioner | 595 Hurricane Shoals Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2017-11-27 |
| 1689119299 | Emily Griffin Roper | Nurse Practitioner | 3525 Sugarloaf Pkwy, Lawrenceville, GA 30044-5403 | 2017-01-05 |
| 1104371434 | Andrea E Piscadlo | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2016-08-16 |
| 1699113308 | Elizabeth Hill | Nurse Practitioner | 132 Franklin Corner Rd, Lawrenceville, NJ 08648-2523 | 2013-06-05 |
| 1386999613 | Amanda Lee Carlton | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2012-07-24 |
| 1841580420 | Pediatric Associtaes of Lawrenceville, LLC | Nurse Practitioner | 755 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2011-04-15 |
| 1144528928 | Lauren Ashley Garmon | Nurse Practitioner | 595 Hurricane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2011-03-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
Please comment or provide details below to improve the information on MRS. TRACY J SHORE.
| 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.