TRACEY WILSON (NPI# 1487828885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487828885 |
| Entity Type | Individual |
| Full Name | TRACEY WILSON |
| Credential | CRNP |
| Practice Address |
29 S Greene St Baltimore MD 21201-1504 |
| Mailing Address |
Po Box 64442 Baltimore MD 21264-4442 |
| Practice Telephone | 4103288141 |
| Mailing Telephone | 4103288141 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R115362 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
R115362 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS/BLUE SHIELD | 960542-01 & 02 | 01 |
| MD | BLUE SHIELD REGIONAL | S062-0375 | 01 |
| MD | 419033500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671359 | Tracey Wilson | Nursing Home Administrator | 639 S Gregory St, San Diego, CA 92113-2617 | 2017-11-02 |
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1750999728 | Tracey Wilson | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-07-16 |
| 1013576669 | Tracey Wilson | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-06-07 |
| 1932693728 | Tracey Kersten Wilson | Nurse Anesthetist, Certified Registered | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2018-06-15 |
| 1205149358 | Tracey B Wilson | Pharmacist | 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 | 2010-07-19 |
| 1902856735 | Tracey S Wilson | Urology | 619 19th St S, Birmingham, AL 35249-1900 | 2006-05-11 |
| Street Address |
29 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891727913 | Shamus Russell Carr | Surgery | 29 S Greene St, Stoler Cancer Pavilion, Baltimore, MD 21201-1504 | 2006-07-07 |
| 1689297319 | Irene Ruiz | Student in an Organized Health Care Education/Training Program | 29 S Greene St, Baltimore, MD 21201-1504 | 2020-05-28 |
| 1831712744 | Cecilia Li | Student in an Organized Health Care Education/Training Program | 29 S Greene St, Baltimore, MD 21201-1504 | 2020-05-26 |
| 1104319094 | Rosemerrie Lynn | Student in an Organized Health Care Education/Training Program | 29 S Greene St, Baltimore, MD 21201-1504 | 2018-06-14 |
| 1902259153 | Allison Megan Mora | Nurse Practitioner | 29 S Greene St, Baltimore, MD 21201-1504 | 2016-07-22 |
| 1679931794 | Victoria Leiman | Pharmacist | 29 S Greene St, Room 400, Baltimore, MD 21201-1504 | 2016-02-03 |
| 1275902785 | Michelle Klein | Nurse Practitioner | 29 S Greene St, Division of Transplantation (2nd Floor/liver Transplant, Baltimore, MD 21201-1504 | 2015-09-15 |
| 1447503586 | Jaclyn Christine Scholten | Nurse Practitioner | 29 S Greene St, Suite #504, Baltimore, MD 21201-1504 | 2012-10-25 |
| 1730434366 | Omayma Ahmed Kishk | Pharmacist | 29 S Greene St, Room 420, Baltimore, MD 21201-1504 | 2012-07-19 |
| 1356641492 | Bethany Shelbourne | Pharmacist | 29 S Greene St, Suite 400, Baltimore, MD 21201-1504 | 2010-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820301 | Nicole Troiani | Nurse Practitioner | 721 S Rose St, Baltimore, MD 21224-3738 | 2020-08-03 |
| 1386967545 | Rita Abu-jaber | Nurse Practitioner | Johns Hopkins Outpatient Ctr, 601 N. Caroline St. Rm 5240, Baltimore, MD 21287-0001 | 2010-03-02 |
| 1417589748 | Meredith Peiffer | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-02-05 |
| 1356891105 | Melissa Wagner | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-10-05 |
| 1568915718 | Kathleen Marie Murphy | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-07-24 |
| 1194081588 | Timothy Henrique Anthony Madeira | Nurse Practitioner | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2012-04-10 |
| 1508182189 | Eva Ramgopal | Nurse Practitioner | 600 N Wolfe St, Weinberg Wicu, Baltimore, MD 21287-0005 | 2010-04-08 |
| 1710153820 | Kimberly A Bowers | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2008-05-08 |
| 1841475092 | Erin Martha Desalvo | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2008-01-07 |
| 1740489970 | John Hagan | Nurse Practitioner | 827 Linden Ave, Baltimore, MD 21201-4606 | 2007-07-17 |
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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.