TRACY LYONS (NPI# 1679650097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679650097 |
| Entity Type | Individual |
| Full Name | TRACY LYONS |
| Credential | DC |
| Practice Address |
825 Walton Dr Plymouth WI 53073-5022 |
| Practice Telephone | 9208924322 |
| Mailing Telephone | 9208924322 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3187 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38887000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842540 | Tracy Lynn Lyons | Pediatrics | 225 E Chicago Ave, Mailbox 18, Medical Education Office, Chicago, IL 60611-2991 | 2011-03-29 |
| 1144467408 | Tracy Dunn Lyons | Nurse Practitioner | 145 Yorktown Dr, Griffin Family Medicine Clinic, Alexandria, LA 71303 | 2009-01-08 |
| Street Address |
825 WALTON DR |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013090455 | Jennifer Ann-gabrys Rench | Family Medicine | 825 Walton Dr, Plymouth, WI 53073-5022 | 2006-10-21 |
| 1619476256 | Angela Meg Montague | Nurse Practitioner | 825 Walton Dr, Plymouth, WI 53073-5022 | 2018-02-09 |
| 1669928495 | Amber Golembeski | Nurse Practitioner | 825 Walton Dr, Plymouth, WI 53073 | 2016-08-31 |
| 1205212214 | Heather Meeusen | Nurse Practitioner | 825 Walton Dr, Plymouth, WI 53073-5022 | 2015-08-03 |
| 1619379369 | Melissa Virant | Nurse Practitioner | 825 Walton Dr, Plymouth, WI 53073-5022 | 2014-09-24 |
| 1518214394 | Kristin Kaiser | Occupational Therapist | 825 Walton Dr, Plymouth, WI 53073-5022 | 2012-08-10 |
| 1659636108 | St Nicholas Hospital-sisters of Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 825 Walton Dr, Plymouth, WI 53073-5022 | 2012-07-11 |
| 1407122708 | Alison J Zimmermann | Physical Therapist | 825 Walton Dr, Plymouth, WI 53073-5022 | 2012-03-30 |
| 1184919359 | Sarah A Wegner | Physical Therapist | 825 Walton Dr, Plymouth, WI 53073-5022 | 2011-06-15 |
| 1821136300 | Heidi Ann Butler | Counselor | 825 Walton Dr, Plymouth, WI 53073-5022 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1003426495 | Erica Danielle Kiela | Chiropractor | W5948 County Road Z, Plymouth, WI 53073-4004 | 2020-07-31 |
| 1215578257 | Michael Lawson | Chiropractor | 88 Sandwich St Unit 2, Plymouth, MA 02360-3334 | 2019-10-01 |
| 1639726060 | Nicholas John-edward Gingell | Chiropractor | 9450 S Main St Ste 106, Plymouth, MI 48170-4184 | 2019-08-21 |
| 1013431493 | David Swain | Chiropractor | 915 S Main St Ste F, Plymouth, MI 48170-2048 | 2017-07-27 |
| 1598202301 | Jessica Lynn Larkin | Chiropractor | 4205 Lancaster Ln N Ste 105, Plymouth, MN 55441-1702 | 2017-01-31 |
| 1700323284 | Joy Wyatt | Chiropractor | 15805 47th Ave N, Plymouth, MN 55446-2152 | 2017-01-23 |
| 1902209042 | Renewed Mobility Chiropractic, P.C. | Chiropractor | 9329 N Haggerty Rd, Plymouth, MI 48170-4622 | 2014-10-03 |
| 1083031843 | Mitchell Alan Brecke | Chiropractor | 5480 Nathan Lane North, Suite 102, Plymouth, MN 55442-1868 | 2014-03-18 |
| 1174940936 | Nicholas Curry | Chiropractor | 5480 Nathan Ln N Ste 102, Plymouth, MN 55442-1995 | 2014-03-18 |
| Find all providers in PLYMOUTH | ||||
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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.