MRS. TRACY LYNN CALDWELL (NPI# 1730502311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730502311 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LYNN CALDWELL |
| Credential | APRN |
| Practice Address |
1208 Two Island Ct Mount Pleasant SC 29466-7436 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438846653 |
| Practice Fax Number | 8438811792 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN.18672 APRN | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740307339 | Tracy Caldwell | Social Worker | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-03-26 |
| Street Address |
1208 TWO ISLAND CT |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1154545465 | Ann M. Peterson | Nurse Practitioner | 851 Leonard Fulghum Blvd., Ste. 101, Mount Pleasant, SC 29464 | 2007-04-11 |
| 1871117580 | Susan Branham | Nurse Practitioner | 107 W 20th St, Mount Pleasant, TX 75455-2323 | 2020-05-29 |
| 1407415698 | Amanda M Hill | Nurse Practitioner | 3807 Spring St, Mount Pleasant, WI 53405-1667 | 2019-06-11 |
| 1649783077 | Jodi Ann Drenth | Nurse Practitioner | 2940 Health Pkwy, Mount Pleasant, MI 48858-9342 | 2017-11-07 |
| 1467973768 | Tamara Kyle Moore | Nurse Practitioner | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2017-06-28 |
| 1417239351 | Katherine Lynn Reuter | Nurse Practitioner | 407 S White St, Mount Pleasant, IA 52641 | 2011-09-16 |
| 1619284924 | Deborah L. Manke | Nurse Practitioner | 250 Mathis Ferry Rd, Ste 101, Mount Pleasant, SC 29464-2988 | 2010-09-08 |
| 1457689077 | Whitney Ann Smith | Nurse Practitioner | 966 Houston Northcutt Blvd, Suite G, Mount Pleasant, SC 29464-3487 | 2009-11-19 |
| 1154574747 | Susan L Branham | Nurse Practitioner | 107 W 20th St, Mount Pleasant, TX 75455-2323 | 2008-10-28 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on MRS. TRACY LYNN CALDWELL.
| 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.