TRACY R SMITH (NPI# 1720612799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720612799 |
| Entity Type | Individual |
| Full Name | TRACY R SMITH |
| Practice Address |
23 E Ross Ave Sapulpa OK 74066-6423 |
| Mailing Address |
1521 N Aster Ave Broken Arrow OK 74012-9138 |
| Practice Telephone | 9182272016 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R054939 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681036 | Tracy Smith | In Home Supportive Care | 2400 Buffalo Gap Rd # 189, Abilene, TX 79605-6102 | 2020-08-25 |
| 1881236552 | Tracy Smith | Contractor | 1619 3rd Ave Se, Rochester, MN 55904-7945 | 2019-10-14 |
| 1619534013 | Tracy Erica Smith | Technician, Other | 1202 Glenview Dr, Mogadore, OH 44260-9581 | 2019-05-22 |
| 1346709011 | Tracy Cornelia Smith | Nurse Practitioner | 6104 Raleigh St Apt 1606, Orlando, FL 32835-2230 | 2019-03-13 |
| 1588135750 | Tracy Jo Smith | Voluntary or Charitable | 4259 N Williamston Rd, Williamston, MI 48895-9175 | 2018-12-16 |
| 1194222372 | Tracy Lynette Smith | Counselor | 55 Seargent Dr, Natchez, MS 39120-4782 | 2018-04-12 |
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1194273425 | Tracy Smith | Social Worker | 40 Daveitta Dr, Savannah, GA 31419-3155 | 2016-09-15 |
| 1265810410 | Tracy Dawn Smith | Counselor | 400 Bhrett Dr, Energy, IL 62933-3570 | 2015-05-08 |
| 1457789356 | Tracy L Smith | Behavioral Analyst | 10917 N Blackwelder Ave, Oklahoma City, OK 73120-7915 | 2013-10-31 |
| Street Address |
23 E ROSS AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572091 | Stacy Spears | Nurse Practitioner | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2005-10-19 |
| 1770181356 | Amber Baldwin | Counselor | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-15 |
| 1578161881 | Sylvester Harris IIi | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-10-09 |
| 1366055014 | Amanda Williams | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-24 |
| 1861003618 | Precious D Miller | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-08-14 |
| 1487263778 | Melinda Vansandt | Registered Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-23 |
| 1700404449 | Jeremy John Myers | Case Manager/Care Coordinator | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-07-09 |
| 1336763945 | Jordan Patty | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-05-31 |
| 1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
| 1366074551 | Shelley Tummons | Licensed Practical Nurse | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023509361 | Farahnez Weir-caswell | Registered Nurse | 909 Alameda St Bldg C, Norman, OK 73071-5229 | 2018-05-22 |
| 1356783310 | Patricia Potter | Registered Nurse | 101 Gibbs, Norman, OK 73070-0000 | 2013-07-19 |
| 1003058132 | Sherry Lynn Howard | Registered Nurse | 641 S Cedar St, Bristow, OK 74010-3609 | 2009-04-03 |
| 1669632667 | Tina G Wiles | Registered Nurse | 501 East Second Street, Heavener, OK 74937 | 2008-06-12 |
| 1932314572 | Donna Sue Blake | Registered Nurse | 70th N. 31st, Clinton, OK 73601 | 2007-05-14 |
| 1881800431 | Janet Kay Lowder | Registered Nurse | 108 W Chicago St, Shawnee, OK 74804-2800 | 2007-05-14 |
| 1619070901 | Lisa Marie Reichert | Registered Nurse | 90 N. 31st, Clinton, OK 73601 | 2006-09-05 |
| 1356960421 | Amy Jean Hoffman | Registered Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-04-09 |
| 1205462801 | Andrea Corin Manley | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-03-16 |
| 1720644313 | Helen Getz | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
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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.