TRACY FLYNN UDEEN (NPI# 1679876080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679876080 |
| Entity Type | Individual |
| Full Name | TRACY FLYNN UDEEN |
| Credential | APRN, CNS |
| Practice Address |
400 East Third Street Essentia Health Duluth Clinic Duluth MN 55805-1951 |
| Mailing Address |
400 East Third Street Essentia Health Duluth Clinic Mcl2cred Duluth MN 55805-1951 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
0152 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R154638-5 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518944164 | Susan E. Romanik | Family Medicine | 400 East Third Street, Duluth, MN 55805 | 2005-12-26 |
| 1902366396 | William Carson Markes | Physician Assistant | 400 East Third Street, Duluth, MN 55805-1951 | 2019-03-21 |
| 1922517093 | Meghan Eileen Rochefort | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-09-21 |
| 1982140299 | Erin Jane Van Hon | Dietitian, Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-01-10 |
| 1770035933 | Jessica Ann Mcdonnell | Nurse Anesthetist, Certified Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-11-03 |
| 1760932487 | Jacob Ryan Swette | Acupuncturist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-10-05 |
| 1316494891 | Mallorie Marie Van Winkle | Physical Therapist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| 1194272781 | Rebecca Leigh Wachsmuth | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| 1710343165 | Kelsey Ann Sellnow | Physician Assistant | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-01-14 |
| 1205241478 | Natalia De Albuquerque Rocha | Internal Medicine | 400 East Third Street, Duluth, MN 55805-1951 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393967 | Christine M Day | Clinical Nurse Specialist | 1502 London Rd, Suite 102, Duluth, MN 55812-1788 | 2005-11-16 |
| 1043633084 | Nanyoung Park | Clinical Nurse Specialist | 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | 2014-01-28 |
| 1952741332 | Laura Ann Kitch | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2013-06-28 |
| 1013298231 | Ella Dohlin | Clinical Nurse Specialist | 407 E 3rd St, Duluth, MN 55805-1950 | 2011-09-01 |
| 1992099378 | Anastasia Marie Johnson | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Marys Medical Center, Duluth, MN 55805-1950 | 2011-06-03 |
| 1720385651 | Jean Marie Runquist | Clinical Nurse Specialist | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2011-02-11 |
| 1831495365 | Diane Beth Roach | Clinical Nurse Specialist | 400 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1951 | 2011-02-01 |
| 1841595568 | Julie Ann Shelton | Clinical Nurse Specialist | 407 E 3rd St, St. Mary's Medical Center, Duluth, MN 55805-1950 | 2011-01-12 |
| 1437479003 | Anna Marie Bird | Clinical Nurse Specialist | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2010-06-07 |
| 1215256953 | Sandra Lee Carlson | Clinical Nurse Specialist | 407 E 3rd St, St. Mary's Medical Center, Duluth, MN 55805-1950 | 2010-05-20 |
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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.