TRACEY HENDERSON (NPI# 1588999270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588999270 |
| Entity Type | Individual |
| Full Name | TRACEY HENDERSON |
| Credential | ARNP |
| Practice Address |
3201 1st St Emmetsburg IA 50536-2516 |
| Mailing Address |
621 S Illinois Ave Ste 103 Mason City IA 50401-5489 |
| Practice Telephone | 7128525555 |
| Practice Fax Number | 7128525692 |
| Mailing Telephone | 6414283041 |
| Mailing Fax Number | 7128525692 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R192078-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013188754 | Tracey A. Henderson | Pediatrics | 4755 Ogletown-stanton Road, Map 1, Suite 116, Newark, DE 19718-2200 | 2008-03-21 |
| Street Address |
3201 1ST ST |
| City | EMMETSBURG |
| State | IA |
| Zip Code | 50536-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708531 | Palo Alto County Hospital | Home Health | 3201 1st St, Emmetsburg, IA 50536-2516 | 2005-05-27 |
| 1538767991 | Amanda Kristine Beurskens | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2020-10-16 |
| 1023628914 | Melody J Degen | Specialist/Technologist | 3201 1st St, Emmetsburg, IA 50536-2516 | 2020-08-05 |
| 1225679780 | Anna M Zwiefel | Family Medicine | 3201 1st St, Emmetsburg, IA 50536-2516 | 2019-10-04 |
| 1972086668 | Amanda Minn Richard | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2018-09-10 |
| 1063907053 | Brenna Elyse Jiron | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2018-06-22 |
| 1225538911 | Markie Lynn Vant Hul | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536 | 2018-02-19 |
| 1174037311 | Michelle C Shryock | Counselor | 3201 1st St, Emmetsburg, IA 50536-2516 | 2017-11-27 |
| 1538513379 | Jason Michael Patton | Emergency Medicine | 3201 1st St, Emmetsburg, IA 50536-2516 | 2016-04-18 |
| 1669854196 | Jonathan Albert Sticca | Family Medicine | 3201 1st St, Emmetsburg, IA 50536-2516 | 2015-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881948735 | Handeland Chiropractic Clinic P.C. | Chiropractor | 3687 450th Ave., Emmetsburg, IA 50536 | 2012-10-30 |
| 1225252893 | Tricia Camille Willeford | Physical Therapist | 3201 1st Street, Palo Alto County Hospital, Emmetsburg, IA 50536 | 2007-04-12 |
| 1437276011 | Louscher Family Dentistry LLC | Dentist | 3202 1st Street, Emmetsburg, IA 50536 | 2007-03-26 |
| 1285693754 | Michael Steven Handeland | Chiropractor | 3687 450th Ave, Emmetsburg, IA 50536 | 2006-03-22 |
| 1427037787 | Dean Albin Ver Mulm | Optometrist | 804 Broadway, Emmetsburg, IA 50536 | 2006-01-13 |
| 1124454806 | Handeland Chiropractic 2 LLC | Chiropractor | 3687 450th Ave, Emmetsburg, IA 50536 | 2013-09-25 |
| 1457515892 | Amy L Frields | Nurse Practitioner | 3201 1/2 1st St, Emmetsburg, IA 50536 | 2008-07-15 |
| 1326059353 | Frank E Veltri | Family Medicine | 3201 1/2 1st St, Emmetsburg, IA 50536-0000 | 2006-08-11 |
| 1518978741 | Ruth I Metzger | Nurse Practitioner | 3201 1/2 First Street, Emmetsburg, IA 50536-0000 | 2006-08-11 |
| 1386655447 | Patricia Banwart | Family Medicine | 3201 1/2 1st St, Emmetsburg, IA 50536-0000 | 2006-08-11 |
| Find all providers in zip 50536 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104313865 | Jordyn Marie Harman | Nurse Practitioner | 3201 2st Street, Emmetsburg, IA 50536-2516 | 2018-04-18 |
| 1538767991 | Amanda Kristine Beurskens | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2020-10-16 |
| 1972086668 | Amanda Minn Richard | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2018-09-10 |
| 1063907053 | Brenna Elyse Jiron | Nurse Practitioner | 3201 1st St, Emmetsburg, IA 50536-2516 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
| City | EMMETSBURG |
| Zip Code | 50536 |
Please comment or provide details below to improve the information on TRACEY HENDERSON.
| 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.