TRACEY RZEPKA (NPI# 1588086920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588086920 |
| Entity Type | Individual |
| Full Name | TRACEY RZEPKA |
| Credential | APRN |
| Practice Address |
2650 Bahia Vista St Ste 209 Sarasota FL 34239-2625 |
| Mailing Address |
Po Box 51622 Sarasota FL 34232-0313 |
| Practice Telephone | 9418707060 |
| Practice Fax Number | 8448762658 |
| Mailing Telephone | 9418707060 |
| Mailing Fax Number | 8448762658 |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1592722 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP1592722 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS | Y3404 | 01 |
| FL | 033906700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2750 Bahia Vista St Ste 108, Sarasota, FL 342392636 | 9418707060 | 8448762658 |
| Street Address |
2650 BAHIA VISTA ST STE 209 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598964975 | Mary Elizabeth Kasper | Clinical Neuropsychologist | 2650 Bahia Vista St Ste 209, Sarasota, FL 34239-2625 | 2007-07-16 |
| 1417333949 | Something Beautiful Wellness Care | Nurse Practitioner | 2650 Bahia Vista St Ste 209, Sarasota, FL 34239-2625 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895259 | Sarah Matilda Dixon-bowdell | Nurse Practitioner | 4936 Hidden Oaks Ln, Sarasota, FL 34232-3038 | 2019-05-06 |
| 1578077160 | Marcia Spencer | Nurse Practitioner | 2761 Horseshoe Ct, Sarasota, FL 34235-1835 | 2017-11-20 |
| 1750526505 | Jeanne M Mott | Nurse Practitioner | 2700 N Tamiami Trl, Sarasota, FL 34243-5895 | 2008-12-09 |
| 1083731582 | Deborah E Miller | Nurse Practitioner | 7648 Camminare Dr, Sarasota, FL 34238-4774 | 2007-03-22 |
| 1477612828 | Carol T Sanden | Nurse Practitioner | 777s Palm Ave 7, Sarasota, FL 34236-7746 | 2006-12-08 |
| 1376532341 | Christine F. Svenson | Nurse Practitioner | 3402 Magic Oak Ln, Sarasota, FL 34232-1812 | 2005-10-20 |
| 1386640985 | Alice Bolton | Nurse Practitioner | 2750 Bahia Vista St, Ste 108, Sarasota, FL 34239-2636 | 2005-06-28 |
| 1134741218 | Advanced Behavioral Clinicians | Nurse Practitioner | 2740 Coconut Bay Ln Unit 3g, Sarasota, FL 34237-3055 | 2020-05-12 |
| 1417471152 | Eduardo Manuel La Rosa | Nurse Practitioner | 1565 State St, Sarasota, FL 34236-5808 | 2017-08-02 |
| 1417333949 | Something Beautiful Wellness Care | Nurse Practitioner | 2650 Bahia Vista St Ste 209, Sarasota, FL 34239-2625 | 2015-08-06 |
| Find all providers in SARASOTA | ||||
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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.