TRACIE THOMAS (NPI# 1669938171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669938171 |
| Entity Type | Individual |
| Full Name | TRACIE THOMAS |
| Credential | APRN, PMHNP-BC |
| Practice Address |
3901 Airport Freeway Suite 230 Bedford TX 76021 |
| Mailing Address |
P.o. Box 271322 Flower Mound TX 75027 |
| Practice Telephone | 8173545200 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP140702 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP140702 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790838019 | Tracie L. Thomas | Counselor | 616 Bonham Ct, Anderson, SC 29621 | 2007-01-19 |
| 1891262671 | Tracie L Thomas | Behavioral Analyst | 1730 W Walnut Ave Ste A, Visalia, CA 93277-6233 | 2018-10-30 |
| Street Address |
3901 AIRPORT FREEWAY SUITE 230 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| 1326449224 | Madeline Gail Taylor | Nurse Practitioner | 2308 Shady Grove Dr., Bedford, TX 76021 | 2014-09-10 |
| Find all providers in zip 76021 | ||||
| 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 |
|---|---|---|---|---|
| 1154752483 | Joanne Hartmann Villegas | Nurse Practitioner | 25181 Columbus Rd, Bedford, OH 44146-2540 | 2013-12-12 |
| 1528234705 | Meredith Mccoy Hake | Nurse Practitioner | 1604 Hospital Pkwy Ste 507, Bedford, TX 76022-6933 | 2008-05-07 |
| 1326007683 | Rebekah Turner Reddel | Nurse Practitioner | 172 Route 101, Unit 26, Bedford, NH 03110-5416 | 2006-03-23 |
| 1083221006 | Ikechi Alex Ikechi Sr. | Nurse Practitioner | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2020-09-24 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1417576554 | Mark Waksmonski | Nurse Practitioner | 12 Mudge Way, Bedford, MA 01730-2147 | 2020-04-09 |
| 1386122612 | Kerri Josephine Keeler | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2018-07-30 |
| 1295274694 | Psychiatric Wellness Center | Nurse Practitioner | 15 Constitution Dr, Suite 1a, Bedford, NH 03110-6042 | 2017-02-17 |
| 1619323623 | Carrie Long | Nurse Practitioner | 2125 16th St, Bedford, IN 47421-3003 | 2016-05-09 |
| 1003288960 | Valeria Dworkowitz | Nurse Practitioner | 55 North Rd Ste 220, Bedford, MA 01730-1078 | 2015-10-30 |
| Find all providers in BEDFORD | ||||
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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.