TRACY R ELLIOTT (NPI# 1588919351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588919351 |
| Entity Type | Individual |
| Full Name | TRACY R ELLIOTT |
| Credential | ARNP, MSN |
| Practice Address |
1015 S Hackett Rd Waterloo IA 50701-3500 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3192345990 |
| Mailing Telephone | 3192355390 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A089231 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
089231 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 312 9th St Sw, Waverly, IA 506772929 | 3193524120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154623056 | Tracy Leigh Elliott | Physical Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2010-11-28 |
| 1942202718 | Tracy Haymann Elliott | Obstetrics & Gynecology | 4401 Coit Rd, Suite # 205, Frisco, TX 75035-0500 | 2005-08-11 |
| Street Address |
1015 S HACKETT RD |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763286 | Brett R Richman | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2005-07-07 |
| 1457801326 | Kelli Deserano | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2016-10-04 |
| 1861745507 | Arun Kumar Muthusamy | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-10-18 |
| 1053608687 | Suhag Maheshbhai Patel | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2011-07-04 |
| 1699929182 | Jennifer Smentek Jampoler | Social Worker | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-11-10 |
| 1619140910 | Srinivas Kalala | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-04-08 |
| 1750570172 | Mohamad Hamdi | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2007-10-22 |
| 1851515688 | Santhi Keeran | Family Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2007-04-12 |
| 1851425276 | Department of Veterans Affairs Outpatient Clinic | Clinic/Center | 1015 S Hackett Rd, Waterloo, IA | 2007-03-15 |
| 1134284565 | Amicare Pharmacy Inc | Pharmacy | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183368 | Jene Michelle Beck | Nurse Practitioner | 111 Maryland Ave, Waterloo, IA 50701-4129 | 2020-01-08 |
| 1104340884 | Elisabeth M. Heying | Nurse Practitioner | 212 W Dale St Ste 102, Waterloo, IA 50703-1900 | 2017-08-03 |
| 1346609559 | Theresa Rae Borcherding | Nurse Practitioner | 1753 W Ridgeway Ave Ste 104, Waterloo, IA 50701-4588 | 2016-02-16 |
| 1659564664 | Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc | Nurse Practitioner | 36 W Park Lane, Waterloo, IA 50701-5178 | 2007-08-22 |
| 1659312254 | Mary Ann Amend | Nurse Practitioner | 146 W Dale St Ste 201, Waterloo, IA 50703-1901 | 2006-06-08 |
| 1235182627 | Kari Nicole Haislet | Nurse Practitioner | 419 E Donald Street, Waterloo, IA 50703-1223 | 2006-05-18 |
| 1952362683 | Annette Christine Geary | Nurse Practitioner | 3812 Pheasant Ln, Waterloo, IA 50701-5200 | 2006-03-31 |
| 1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
| 1952935082 | Erica Alexandra Podhajsky | Nurse Practitioner | 419 E Donald St, Waterloo, IA 50703-1500 | 2020-02-27 |
| 1730712985 | Elizabeth Marie Smith | Nurse Practitioner | 367 E Main St Ste A, Waterloo, NY 13165-1643 | 2020-02-17 |
| Find all providers in WATERLOO | ||||
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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.