TRACY SHAW (NPI# 1730691122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730691122 |
Entity Type | Individual |
Full Name | TRACY SHAW |
Practice Address |
2055 Hospital Dr Ste 340 Batavia OH 45103-1978 |
Practice Telephone | 5137357872 |
Mailing Telephone | 5137357872 |
Mailing Fax Number | 5136242077 |
Enumeration Date | 2017-10-25 |
Last Update Date | 2019-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024191 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3101 Burnet Ave, Cincinnati, OH 452293014 | 5133577289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548320096 | Tracy A Shaw | Speech-Language Pathologist | 1806 W Pampa Ave, Mesa, AZ 85202-8013 | 2006-12-12 |
1376103002 | Tracy Shaw | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-06-14 |
1629514633 | Tracy Shaw | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2017-01-13 |
1982727392 | Tracy Denise Shaw | Psychologist | 5855 Green Valley Cir, Suite 109, Culver City, CA 90230-6946 | 2007-04-09 |
1306868526 | Tracy Lynne Shaw | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
Street Address |
2055 HOSPITAL DR STE 340 |
City | BATAVIA |
State | OH |
Zip Code | 45103-1978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851762058 | Nathon S Montgomery | Nurse Practitioner | 2055 Hospital Dr Ste 340, Batavia, OH 45103-1978 | 2015-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
Find all providers in zip 45103 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700401700 | Emilee Boyle | Nurse Practitioner | 4610 Steeplechase Dr, Batavia, OH 45103-9202 | 2020-06-15 |
1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
1508226622 | Kati Sisson | Nurse Practitioner | 127 North Street, Batavia, NY 14020 | 2016-03-02 |
1851758288 | Valeri Zimmerman | Nurse Practitioner | 2136 Picketside Dr, Batavia, OH 45103-7122 | 2016-01-15 |
1851762058 | Nathon S Montgomery | Nurse Practitioner | 2055 Hospital Dr Ste 340, Batavia, OH 45103-1978 | 2015-10-13 |
1073683611 | Krysten Leigh Schmidt | Nurse Practitioner | 108 Bank St, Batavia, NY 14020 | 2006-11-09 |
1720097843 | James Patrick Pacino | Nurse Practitioner | 4156 W Main Street Road, Batavia, NY 14020-0000 | 2006-08-07 |
1831120476 | James Stephen Lamparelli | Nurse Practitioner | 5619 E Main St, Batavia, NY 14020-9609 | 2006-07-05 |
1619904935 | Gwen S Johnson | Nurse Practitioner | 3000 Hospital Dr Ste 130, Batavia, OH 45103-1921 | 2006-06-26 |
1306452735 | Amy Rose Arellanes | Nurse Practitioner | 815 N Randall Rd, Batavia, IL 60510-1992 | 2020-09-21 |
Find all providers in BATAVIA |
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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.