TRACY L KALUZNY (NPI# 1609853332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609853332 |
| Entity Type | Individual |
| Full Name | TRACY L KALUZNY |
| Credential | RN/NP |
| Practice Address |
332 N Lauderdale St Ms 106 Memphis TN 38105-2729 |
| Mailing Address |
262 Danny Thomas Pl Ms 133 Memphis TN 38105-3678 |
| Practice Telephone | 9014953006 |
| Practice Fax Number | 9014953842 |
| Mailing Telephone | 9015953006 |
| Mailing Fax Number | 9015953842 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6233 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440038 | 05 |
| Street Address |
332 N LAUDERDALE ST MS 106 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710376 | Carla London | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2005-09-14 |
| 1356518237 | Lindsay Margaret Chapman | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2008-05-10 |
| 1932322989 | David Perry Roberge | Radiology | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2007-04-10 |
| 1912955352 | Nicole A Mortier | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1487602132 | William H. Schultz | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1427035153 | Marion L Donohoe | Nurse Practitioner | 332 N Lauderdale St, Ms 600, Memphis, TN 38105-2729 | 2005-12-23 |
| 1972580603 | Vicki S Frederick | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1962489609 | Myra T Hazard | Nurse Practitioner | 332 N Lauderdale St, Ms 735, Memphis, TN 38105-2794 | 2005-12-23 |
| 1417934167 | Vanessa C Howard | Nurse Practitioner | 332 N Lauderdale St, Ms 351, Memphis, TN 38105-2729 | 2005-12-23 |
| 1174500854 | Phyllis J Pollard | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1730568650 | Erin Burke | Nurse Practitioner | 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 | 2015-05-26 |
| 1427443142 | Jamila Shani Smith-young | Nurse Practitioner | 51 N Dunlap #400, Memphis, TN 38103 | 2015-03-31 |
| 1457788606 | Lindsey Nicole Locke | Nurse Practitioner | 848 Adams Street, Memphis, TN 38103 | 2013-10-02 |
| 1851667992 | Brenda Hill | Nurse Practitioner | 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 | 2012-03-22 |
| 1851378525 | Mindy J Lipson | Nurse Practitioner | 5293 S Angela Rd, Memphis, TN 38120-2203 | 2005-12-23 |
| 1609853381 | Kimberly E Proctor | Nurse Practitioner | 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794 | 2005-12-23 |
| 1528679651 | Heather Leigh Leland | Nurse Practitioner | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2020-08-12 |
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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.