DR. TRACY NELSON (NPI# 1487099354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487099354 |
| Entity Type | Individual |
| Full Name | DR. TRACY NELSON |
| Credential | M.D. |
| Practice Address |
2501 Capehart Rd Offutt Afb NE 68113-1043 |
| Practice Telephone | 4022946077 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29685 | NE | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Riverside Ave, M-136 Riverside East Bldg, Minneapolis, MN 554541450 | 6126244477 | 6126267042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025409 | Tracy Zaneta Nelson | In Home Supportive Care | 5624 7th Ave, Fort Myers, FL 33907-2927 | 2017-10-25 |
| 1467855015 | Tracy Nelson | Behavioral Analyst | 32351 Lodgepole Dr, Evergreen, CO 80439-6649 | 2014-09-26 |
| 1356445696 | Tracy Dawn Nelson | Obstetrics & Gynecology | 8203 Nigels Dr, Suite 100, Myrtle Beach, SC 29572-4177 | 2006-09-08 |
| 1932726940 | Tracy Nelson | Behavior Technician | 201 International Cir Ste 230, Hunt Valley, MD 21030-1344 | 2020-06-26 |
| 1417499229 | Tracy Nelson | Occupational Therapy Assistant | 101 Manning Dr, Unc Hospitals Rehab Therapy Department, Chapel Hill, NC 27514-4220 | 2016-11-10 |
| 1912373523 | Tracy Nelson | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2015-08-18 |
| 1437492766 | Tracy Nelson | Licensed Practical Nurse | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-04-04 |
| 1245579861 | Tracy Lee Nelson | Physical Therapist | 2511 N John Young Pkwy, Kissimmee, FL 34741-1653 | 2013-02-01 |
| 1841507134 | Tracy Nelson | Speech-Language Pathologist | 197 Martin Rd, Jamestown, NY 14701-9224 | 2010-09-08 |
| 1346499738 | Tracy Lynn Nelson | Registered Nurse | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2008-09-10 |
| Street Address |
2501 CAPEHART RD |
| City | OFFUTT AFB |
| State | NE |
| Zip Code | 68113-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426037 | John P Engler | Psychologist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2005-06-09 |
| 1477178689 | Melissa Cristina Baker | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2020-06-12 |
| 1508487463 | Karl Hellwig | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2020-05-01 |
| 1790337616 | Jacqueline Paige Hardy | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-07-11 |
| 1376195586 | Brittany Wheat | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-07-09 |
| 1356909923 | Chaola Simmons | Social Worker | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-05-30 |
| 1730745589 | Mindy Howard | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-05-17 |
| 1366901738 | Taten Brent Swanson | Military Health Care Provider | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-03-15 |
| 1306302310 | Michael White | Student in an Organized Health Care Education/Training Program | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-02-14 |
| 1528534880 | Jin Wook Kang | Pharmacist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
| 1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
| 1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
| 1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
| 1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
| 1457766909 | Robyn Thiede | Nurse Practitioner | 2501 Capehart Road, Family Medicine Residency Clinic, Ehrling Bergquist, Offutt Afb, NE 68113 | 2014-06-24 |
| Find all providers in zip 68113 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780614156 | Shirley Lynn Miller | Pediatrics | 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 | 2006-07-03 |
| 1285165407 | Theodore Pham | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2017-03-21 |
| 1780046730 | Mariah Davis | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2016-03-28 |
| 1891177879 | Craig Matthew Becker | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-06-25 |
| 1871987628 | James Lee | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-03-18 |
| 1306136577 | David Faith | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-04-08 |
| 1730247628 | William Ryan Toth | Pediatrics | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1942715073 | Anne Marie Bigbee | Pediatrics | 7001 A St Ste 110, Lincoln, NE 68510-4299 | 2017-12-12 |
| 1861915886 | Capital City Pediatrics, LLC | Pediatrics | 7441 O St Ste 303, Lincoln, NE 68510-2466 | 2017-07-21 |
| 1942721956 | Children First Pediatrics, P.C. | Pediatrics | 4230 Pioneer Woods Dr Ste B, Lincoln, NE 68506-7565 | 2017-06-29 |
| 1841737418 | Kearney Clinic PC | Pediatrics | 211 W 33 St, Kearney, NE 68845-3456 | 2017-01-20 |
| 1457898116 | Medpeds PC | Pediatrics | 4209 N 195th St, Elkhorn, NE 68022-5174 | 2017-01-19 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | OFFUTT AFB |
| Zip Code | 68113 |
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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.