TRACIE LANE STAFFORD (NPI# 1588272751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588272751 |
| Entity Type | Individual |
| Full Name | TRACIE LANE STAFFORD |
| Credential | RN |
| Practice Address |
Hwy 160 Mp 394.3 Kayenta AZ 86033-0368 |
| Mailing Address |
Po Box 368 Kayenta AZ 86033-0368 |
| Practice Telephone | 9286974100 |
| Mailing Telephone | 9286974100 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
R82687 | AR | Nursing Service Providers |
| Street Address |
HWY 160 MP 394.3 |
| City | KAYENTA |
| State | AZ |
| Zip Code | 86033-0368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342576 | Daniel Jones | Family Medicine | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2005-11-08 |
| 1871100321 | Letcher Conley Beck Jr. | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-09-29 |
| 1770192973 | Jeremy King | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-24 |
| 1508498346 | Donna Ellen Bradley | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-02-10 |
| 1417589250 | Debra Summerfield | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2020-02-10 |
| 1972133627 | Gillian Sowers | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-01-22 |
| 1073158572 | Jeff Craig | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-08 |
| 1700448024 | Marc J Puglia | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2019-07-08 |
| 1427619204 | Jessica Rivera | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2019-06-24 |
| 1639734890 | Natasha Dawn Bordeaux | Dietitian, Registered | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
| 1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
| 1467952762 | Michael Ruddy | Pharmacist | Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 | 2018-02-14 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| Find all providers in zip 86033 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084715 | Jennifer Rae Belinte | Registered Nurse | 391 Highway 163 Ste Ka2010, Kayenta, AZ 86033-9997 | 2020-02-05 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1013157916 | Melvin Keith Swindell | Registered Nurse | Hwy 160/163 Bldg Ka-2010, Kayenta, AZ 86033 | 2009-03-05 |
| 1437759255 | Justian Scott Jones | Registered Nurse | Kayenta Health Center, Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2020-10-30 |
| 1770192973 | Jeremy King | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033-0368 | 2020-07-24 |
| 1073158572 | Jeff Craig | Registered Nurse | Hwy 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-08 |
| 1376022616 | Amanda Brooke Moore | Registered Nurse | 394.3 Highway 160, Kayenta, AZ 86033 | 2018-08-08 |
| Find all providers in KAYENTA | ||||
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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.