MRS. TRACI BADEUSZ SCULLIN (NPI# 1720305683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720305683 |
| Entity Type | Individual |
| Full Name | MRS. TRACI BADEUSZ SCULLIN |
| Credential | N.P. |
| Practice Address |
2001 N Jefferson Ave Mount Pleasant TX 75455-2371 |
| Mailing Address |
7262 Farm Road 1734 Mount Pleasant TX 75455-1730 |
| Practice Telephone | 9035776080 |
| Mailing Telephone | 9038180014 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 698610 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 N JEFFERSON AVE |
| City | MOUNT PLEASANT |
| State | TX |
| Zip Code | 75455-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455261 | Alvin Ernest Glenn | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2371 | 2005-05-24 |
| 1285263970 | Lacy White | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-04-03 |
| 1851921357 | Cheryl Ann Shovan | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-01-23 |
| 1104383082 | Jami Lanette Baker | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-27 |
| 1194281626 | Caleb Heath Mitchell | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2019-02-20 |
| 1780140194 | Angela Fritz | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-11 |
| 1972068328 | Jordan Kreusch | Physical Therapy Assistant | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-08 |
| 1659879443 | Laura Jean Arendt | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2018-01-26 |
| 1417471566 | Nicole Kalgren | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-07-31 |
| 1629505912 | Krystal Rachelle Bridwell | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229439 | Melissa Lynn Doering | Nurse Practitioner | 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3153 | 2020-09-12 |
| 1851860332 | John Thomas Pattison V | Nurse Practitioner | 7070 E Broadway Rd, Mount Pleasant, MI 48858-8970 | 2018-11-14 |
| 1750806188 | Trista Ann Patten | Nurse Practitioner | 3811 Spring St # 301, Mount Pleasant, WI 53405-1667 | 2017-08-07 |
| 1841742152 | Emily Kastenson | Nurse Practitioner | 6611 Spring St, Mount Pleasant, WI 53406-2632 | 2016-11-03 |
| 1821349051 | Anna Rybak | Nurse Practitioner | 1604 Lakewood Ave, Mount Pleasant, WI 53403-3827 | 2012-09-27 |
| 1174630057 | Kimberly A Woyach | Nurse Practitioner | 8400 Washington Ave # 245, Mount Pleasant, WI 53406-3735 | 2006-08-24 |
| 1063010080 | Sara Ann Simpson | Nurse Practitioner | 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 | 2020-10-12 |
| 1285242214 | Samantha Ashley Murray | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-07-15 |
| 1972136281 | Heather Marie Steppe | Nurse Practitioner | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2020-02-14 |
| 1831747625 | Sarantuya Nisler | Nurse Practitioner | 3805b Spring St Ste 260, Mount Pleasant, WI 53405-1643 | 2019-08-27 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
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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.