TRACY POWELL (NPI# 1497169056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497169056 |
| Entity Type | Individual |
| Full Name | TRACY POWELL |
| Practice Address |
5211 Highway 110 Aurora MN 55705-1522 |
| Practice Telephone | 2182294246 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R173832-6 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
| 1861877276 | Tracy Powell | Pharmacist | 5000 S 13th St, Leavenworth, KS 66048-5581 | 2015-07-27 |
| 1417335738 | Tracy A Powell | Pain Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2015-05-07 |
| 1902297070 | Tracy Powell | Nurse Practitioner | 469 Migeon Ave, Torrington, CT 06790-4643 | 2015-02-11 |
| 1013221613 | Tracy A. Powell | Physical Therapy Assistant | 26 Conneaut Lake Rd, Greenville, PA 16125-2167 | 2010-08-06 |
| 1366648008 | Tracy Powell | Licensed Practical Nurse | 501 Market St Ste 2, Lewisburg, PA 17837-3002 | 2007-06-21 |
| 1295853174 | Tracy Elaine Powell | Nurse Practitioner | 1365b Clifton Rd Ne, Suite1400, Atlanta, GA 30322-1013 | 2007-03-27 |
| Street Address |
5211 HIGHWAY 110 |
| City | AURORA |
| State | MN |
| Zip Code | 55705-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285455 | Catherine Marie Mitchell | Family Medicine | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705-1522 | 2006-02-20 |
| 1174024095 | Mallory Ellen Imberg | Speech-Language Pathologist | 5211 Highway 110, Aurora, MN 55705-1522 | 2018-02-26 |
| 1285183046 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2016-09-22 |
| 1932573177 | Emily Elizabeth Modin | Occupational Therapist | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-11-28 |
| 1215321310 | Angela Boyd | Dietitian, Registered | 5211 Highway 110, Aurora, MN 55705-1522 | 2015-03-26 |
| 1225467004 | Justin Peyla | Physical Therapist | 5211 Highway 110, Essentia Health-northern Pines, Aurora, MN 55705-1522 | 2013-11-02 |
| 1598105694 | Susan Elizabeth Stark | Nurse Practitioner | 5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 | 2013-07-03 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| 1881954147 | Northern Pines Medical Center | Clinic/Center | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-21 |
| 1891053567 | Northern Pines Medical Center | Non-Pharmacy Dispensing Site | 5211 Highway 110, Aurora, MN 55705-1522 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
| 1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
| 1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
| 1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
| 1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
| 1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
| 1457958498 | Carol Ruth Haasl | Community Health Worker | 215 W 4th Ave N, Aurora, MN 55705-1252 | 2020-10-02 |
| Find all providers in zip 55705 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448236 | Tonya Coates | Registered Nurse | 729 N. Claymill Cutoff Rd, Aurora, UT 84620-0233 | 2019-10-08 |
| 1093246415 | David Lloyd Reid | Registered Nurse | 2624 S Halifax Ct, Aurora, CO 80013-6264 | 2017-03-27 |
| 1336588003 | Leticia Evelyn Quesada | Registered Nurse | 857 S Naples Way, Aurora, CO 80017-3170 | 2013-06-17 |
| 1649472341 | Ann Louise Bowen | Registered Nurse | 14775 Orchard St Ne, Aurora, OR 97002-9269 | 2007-06-04 |
| 1932663424 | Stephanie Danek | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2019-01-29 |
| 1033630439 | Lacey Leslie | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2017-07-06 |
| 1740720499 | Janet Stormer | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2017-02-28 |
| 1518234095 | Mary L Love | Registered Nurse | 2500 S Havana St, Aurora, CO 80014-1618 | 2011-11-28 |
| 1609032002 | Julia Janett Borja | Registered Nurse | 2550 S Parker Rd Ste 300, Aurora, CO 80014-1675 | 2008-08-05 |
| 1720247356 | Margaret Ann Schmidt | Registered Nurse | 15400 E 14th Pl Ste 309, Aurora, CO 80011-5828 | 2008-06-09 |
| Find all providers in AURORA | ||||
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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.