TRACI GRADY (NPI# 1568994440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568994440 |
| Entity Type | Individual |
| Full Name | TRACI GRADY |
| Other Name | TRACI LAYES |
| Credential | R.N. |
| Practice Address |
408 1st St Nw Mason City IA 50401 |
| Mailing Address |
100 Chickasaw St Rudd IA 50471-5018 |
| Practice Telephone | 6414248708 |
| Practice Fax Number | 6414217809 |
| Mailing Telephone | 6412200303 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
089503 | IA | Nursing Service Providers |
| Street Address |
408 1ST ST NW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679652960 | North Iowa Transition Center | Community Based Residential Treatment Facility, Mental Illness | 408 1st St Nw, Mason City, IA 50401-3004 | 2006-11-06 |
| 1578634143 | North Iowa Transition Center | Community/Behavioral Health | 408 1st St Nw, Mason City, IA 50401-3004 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525054 | Jennifer Stromgren | Registered Nurse | 2246 82nd Ave, Ottumwa, IA 52501-9180 | 2020-07-15 |
| 1831731298 | Heather Jean Wilson | Registered Nurse | 305 S Wise St, Paton, IA 50217-7735 | 2019-10-16 |
| 1205136363 | Gloria Gene Mcmillan | Registered Nurse | 306 W Stone Ave, Fairfield, IA 52556-2247 | 2010-10-23 |
| 1902084858 | Melissa Clark | Registered Nurse | 3251 West 9th Street, Waterloo, IA 50702 | 2008-02-02 |
| 1972913978 | Heidi Bradley | Registered Nurse | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2014-04-30 |
| 1235579517 | Jennifer Lynn Davidson | Registered Nurse | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2013-07-01 |
| 1164725339 | Judith Ann Gonzales | Registered Nurse | 1001 Office Park Rd, Suite 113, West Des Moines, IA 50265-2587 | 2010-12-09 |
| 1326227224 | Terry M Ideker | Registered Nurse | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2007-10-26 |
| 1619174562 | Martha Lutenegger | Registered Nurse | 407 N 4th St, Burlington, IA 52601-5229 | 2007-07-02 |
| 1295878411 | Anabel Lee Flaherty | Registered Nurse | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on TRACI GRADY.
| 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.