TRACY JOHNSON (NPI# 1568820629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568820629 |
| Entity Type | Individual |
| Full Name | TRACY JOHNSON |
| Credential | P.A |
| Practice Address |
475 N Highway 25 W Suite 100 Williamsburg KY 40769-1576 |
| Practice Telephone | 6065492930 |
| Practice Fax Number | 6065493036 |
| Mailing Telephone | 6065492930 |
| Mailing Fax Number | 6065493036 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2927 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980734 | Tracy Johnson | Behavioral Analyst | 8200 Haven Ave Apt 7211, Rancho Cucamonga, CA 91730-6972 | 2018-01-25 |
| 1588052419 | Tracy Johnson | Licensed Practical Nurse | 85 Floss Ave, Buffalo, NY 14211-1901 | 2014-12-30 |
| 1447665138 | Tracy Johnson | Registered Nurse | 120 Danville Dr, Leesburg, GA 31763-5706 | 2014-06-22 |
| 1255692638 | Tracy Darnelle Johnson | Registered Nurse | 985 Irvin Shoots Rd E, Marion, OH 43302-9739 | 2012-06-01 |
| 1194029520 | Tracy L Johnson | Registered Nurse | 709 Mulberry Dr W, West Bend, WI 53090-2257 | 2010-12-28 |
| 1992938757 | Tracy Lynn Johnson | Prosthetic/Orthotic Supplier | 2309 S 17th St Ste 100, Wilmington, NC 28401-8006 | 2009-08-27 |
| 1568665578 | Tracy Ann Johnson | Counselor | 7420 Better Way Se, Snoqualmie, WA 99065 | 2007-06-07 |
| 1134322324 | Tracy L. Johnson | Speech-Language Pathologist | 2700 Feather Run Trl, Apt. E20, West Columbia, SC 29169-4966 | 2007-06-06 |
| 1891902433 | Tracy Lynne Johnson | Physical Therapy Assistant | 887 Lincoln Dr, Conneaut, OH 44030-2135 | 2007-05-16 |
| 1942343520 | Tracy Ann Johnson | Counselor | 5726 Marlin Road. Suite 200, Chattanooga, TN 37411 | 2007-02-14 |
| Street Address |
475 N HIGHWAY 25 W SUITE 100 |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366530586 | Thomas Doncaster | Family Medicine | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2006-10-11 |
| 1811517725 | Windham Drug North, Inc | Pharmacy | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2020-04-21 |
| 1558730945 | Rachel Nicole Ellison | Specialist/Technologist | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2015-09-16 |
| 1417368580 | Air Affiliates Inc | Durable Medical Equipment & Medical Supplies | 475 N Highway 25 W, Suite 201, Williamsburg, KY 40769-1576 | 2014-05-12 |
| 1467768747 | Cumberland Foot and Ankle Center | Podiatrist | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2010-08-25 |
| 1003045907 | Christina Lynn Breeding | Physical Therapy Assistant | 475 N Highway 25 W, Suite 200, Williamsburg, KY 40769-1576 | 2009-07-13 |
| 1669617809 | Highland Park Primary Care Center, Pllc | Clinic/Center | 475 N Highway 25 W, Suite300, Williamsburg, KY 40769-1576 | 2008-12-02 |
| 1730336975 | Rl Nutrition Services | Clinic/Center | 475 N Highway 25 W, Suite 101, Williamsburg, KY 40769-1576 | 2008-08-19 |
| 1760654073 | Rick Loudermelt | Dietitian, Registered | 475 N Highway 25 W, Williamsburg, KY 40769-1576 | 2008-03-26 |
| 1912128125 | Kari Natasha Mcknight | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1861767600 | Lesley Anne Tipton | Physician Assistant | 7527 College Station Dr, Williamsburg, KY 40769-1386 | 2012-03-13 |
| 1871795765 | Stephanie A Hoover | Physician Assistant | 202 Cove Forge Road, Cove Forge Behavioral Health, Williamsburg, PA 16693 | 2007-06-03 |
| 1720081565 | Jennifer L. Harrington | Physician Assistant | 841 S Highway 25 W # S, Suite 5, Williamsburg, KY 40769-4600 | 2005-05-24 |
| 1033544606 | Odessa Ochoa | Physician Assistant | 5477 Mooretown Rd, Williamsburg, VA 23188-2108 | 2013-09-13 |
| 1659667681 | Kristen White | Physician Assistant | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-06-28 |
| 1578716445 | Dannette Yuiska | Physician Assistant | 477 Mclaws Cir, Williamsburg, VA 23185-6316 | 2008-10-23 |
| 1912128125 | Kari Natasha Mcknight | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2007-05-02 |
| 1134200223 | Paul C Henson | Physician Assistant | 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 | 2006-10-17 |
| 1740221407 | Patricia S Reynolds | Physician Assistant | 400 Sentara Cir, Suite 320, Williamsburg, VA 23188-5716 | 2006-06-10 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
Please comment or provide details below to improve the information on TRACY JOHNSON.
| 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.