TRACIE ROSS (NPI# 1669016093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669016093 |
| Entity Type | Individual |
| Full Name | TRACIE ROSS |
| Credential | ARNP |
| Practice Address |
908 5th Ave Se Olympia WA 98501-1507 |
| Mailing Address |
120 Cinema Dr Apt 1303 Hendersonville TN 37075-6358 |
| Practice Telephone | 3607542423 |
| Mailing Telephone | 6153008938 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP61011870 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122492 | Tracie Lee Ross | Social Worker | 2640 Breslauer Way, Redding, CA 96001-4246 | 2007-02-16 |
| Street Address |
908 5TH AVE SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275060899 | Sarah Lynette Boyd | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2017-05-13 |
| 1255939278 | Jonathan Mark Hoyer | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2020-10-12 |
| 1316574056 | Tausha Mccarthy | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2020-03-24 |
| 1932742194 | Tylynn Stewart | Social Worker | 908 5th Ave Se, Olympia, WA 98501-1507 | 2019-10-21 |
| 1518516608 | Giovanni De Rosa | Social Worker | 908 5th Ave Se, Olympia, WA 98501-1507 | 2019-09-10 |
| 1184184301 | Shannon Lee Schwieger | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2019-03-22 |
| 1881165124 | Nicole Michele Smith | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2018-12-16 |
| 1235605031 | Canada Barber | Peer Specialist | 908 5th Ave Se, Olympia, WA 98501-1507 | 2018-10-18 |
| 1477032266 | Sean Arthur Wright | Counselor | 908 5th Ave Se, Olympia, WA 98501-1507 | 2018-08-13 |
| 1275046435 | Christopher Ryan Thomas | Peer Specialist | 908 5th Ave Se, Olympia, WA 98501-1507 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| 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 |
|---|---|---|---|---|
| 1801353719 | Boyd Cowan, LLC | Nurse Practitioner | 209 4th Ave E Ste 214, Olympia, WA 98501-6969 | 2019-02-27 |
| 1760811475 | Psychiatric Services of Olympia Pllc | Nurse Practitioner | 2114 Caton Way Sw, 201, Olympia, WA 98502-1177 | 2013-11-04 |
| 1336441765 | Laura Wagner | Nurse Practitioner | 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 | 2010-11-17 |
| 1992886956 | Jennifer Ann Clingenpeel | Nurse Practitioner | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2006-10-18 |
| 1316574056 | Tausha Mccarthy | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2020-03-24 |
| 1952958803 | Genuine Healthcare, Pllc | Nurse Practitioner | 1800 Cooper Point Rd Sw Ste 19, Olympia, WA 98502-1179 | 2019-08-23 |
| 1578039749 | Melissa Jo Gallardo | Nurse Practitioner | 225 State Ave Ne, Olympia, WA 98501-6951 | 2018-10-15 |
| 1952897373 | West Olympia Psychiatry Pllc | Nurse Practitioner | 924 7th Ave Se, Olympia, WA 98501-1548 | 2018-07-09 |
| 1124400783 | Diana Liebner | Nurse Practitioner | 3857 Martin Way E, Olympia, WA 98506-5268 | 2015-06-19 |
| 1700267374 | Amy Lorraine Heckler | Nurse Practitioner | 3030 Limited Ln Nw, Olympia, WA 98502-2704 | 2015-06-09 |
| Find all providers in OLYMPIA | ||||
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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.