TRACY LEE KOTTENBROOK (NPI# 1689697054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689697054 |
| Entity Type | Individual |
| Full Name | TRACY LEE KOTTENBROOK |
| Credential | L.P.N. |
| Practice Address |
9350 Westfall Rd Frankfort OH 45628-0327 |
| Mailing Address |
Po Box 327 9350 Westfall Road Frankfort OH 45628-0327 |
| Practice Telephone | 7409986738 |
| Practice Fax Number | 7409986738 |
| Mailing Telephone | 7409986738 |
| Mailing Fax Number | 7409986738 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 096321 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2129771 | 05 |
| Street Address |
9350 WESTFALL RD |
| City | FRANKFORT |
| State | OH |
| Zip Code | 45628-0327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880695 | Lenisa Harris Cooper | Contractor | 40 N. Main St, Frankfort, OH 45628 | 2020-01-16 |
| 1114347267 | Robert Lee Clary | Registered Nurse | 2037 Sulphur Lick Road, Frankfort, OH 45628 | 2014-04-16 |
| 1104253632 | Concord Township Trustees | Ambulance | 27 W. Springfield Street, Frankfort, OH 45628 | 2013-09-30 |
| 1770841736 | Sheri Ann Peterson | Licensed Practical Nurse | 4500 Old Us Rt 35, Frankfort, OH 45628 | 2012-04-27 |
| 1902115389 | Debra Kay Lee | Licensed Practical Nurse | 290 Cherokee Trail, Frankfort, OH 45628 | 2010-10-01 |
| 1104905173 | Deerfield Nursing Corporation | Nursing Facility/Intermediate Care Facility | 119 High St., Frankfort, OH 45628-0312 | 2006-11-02 |
| 1952544058 | Leslie Jane Archer | Registered Nurse | 151 Springfield St, Box 353, Frankfort, OH 45628-0353 | 2009-04-20 |
| 1427347160 | Kelli J Caplinger | Registered Nurse | 57 S Main St, Frankfort, OH 45628-8018 | 2011-04-04 |
| 1669716064 | Glenn E Minney | Massage Therapist | 12588 Westfall Rd, Frankfort, OH 45628-9035 | 2012-11-26 |
| 1265473235 | Melissa Lynn Richendollar | Specialist/Technologist | 3367 County Road 550, Frankfort, OH 45628-9503 | 2006-06-09 |
| Find all providers in zip 45628 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754834 | Angela Newland | Licensed Practical Nurse | 359 Overlake Dr, Frankfort, OH 45628-9760 | 2014-02-02 |
| 1467874222 | Beverly Bartlett | Licensed Practical Nurse | 4188 Acme Rd, Apt 2, Frankfort, NY 13340-3503 | 2014-01-14 |
| 1861732067 | Amy L Biddle | Licensed Practical Nurse | 5854 Westfall Rd, Frankfort, OH 45628-9593 | 2013-02-25 |
| 1396094033 | Carmelitta Michelle Scott | Licensed Practical Nurse | 8982 State Route 138, Frankfort, OH 45728 | 2012-09-07 |
| 1770841736 | Sheri Ann Peterson | Licensed Practical Nurse | 4500 Old Us Rt 35, Frankfort, OH 45628 | 2012-04-27 |
| 1902181019 | Brenda F.c. Abrams | Licensed Practical Nurse | 205 Kernan Ave, Frankfort, NY 13340-3529 | 2011-10-20 |
| 1700183258 | Angela Sue Proehl | Licensed Practical Nurse | 541 Overlake Dr, Frankfort, OH 45628-9760 | 2011-02-18 |
| 1902115389 | Debra Kay Lee | Licensed Practical Nurse | 290 Cherokee Trail, Frankfort, OH 45628 | 2010-10-01 |
| 1407068745 | Chad Lindley Knight | Licensed Practical Nurse | 2565 Little Creek Rd, Frankfort, OH 45628-9714 | 2007-05-07 |
| 1881659654 | Christopher Price Tedford | Licensed Practical Nurse | 9385 State Route 28, Frankfort, OH 45628-9750 | 2006-04-17 |
| Find all providers in FRANKFORT | ||||
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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.