TRACY ANN CLARK (NPI# 1770883977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770883977 |
| Entity Type | Individual |
| Full Name | TRACY ANN CLARK |
| Credential | CRNA |
| Practice Address |
232 S Woods Mill Rd Chesterfield MO 63017-3417 |
| Mailing Address |
18630 Babler Meadows Dr Wildwood MO 63038-1174 |
| Practice Telephone | 3142056917 |
| Mailing Telephone | 9528182651 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2010035831 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
| 1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
| 1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
| 1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
| 1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
| 1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| Street Address |
232 S WOODS MILL RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869850 | Narasimha R Gondipalli | Specialist | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2005-05-31 |
| 1548869191 | Sara M Graham | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-10-23 |
| 1932738309 | Ryan Wettstein | Physical Medicine & Rehabilitation | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-04-07 |
| 1447889282 | Audra Michelle Kramer | Dietitian, Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-04-03 |
| 1851952345 | Christina Marie Yeast | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2019-06-25 |
| 1871086900 | Sarah O'leary | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017 | 2018-06-13 |
| 1417440835 | Kelley Roediger | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-06-11 |
| 1649777848 | Amanda Gonzales | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-04-12 |
| 1861991994 | Kimberli Louise Campbell | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-02-04 |
| 1891202362 | Rebecca Lasater | Social Worker | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504119 | Mary Mcdonough Schiller | Nurse Anesthetist, Certified Registered | 400 S Woods Mill Rd Ste 140, Chesterfield, MO 63017-3427 | 2014-02-21 |
| 1124138284 | Robin Kroeger | Nurse Anesthetist, Certified Registered | 232 S Woods Mills, Chesterfield, MO 63017 | 2006-08-30 |
| 1538141270 | Janice Daniels | Nurse Anesthetist, Certified Registered | 14825 N Outer Forty, Suite 100, Chesterfield, MO 63017 | 2005-11-17 |
| 1467073742 | Key Anesthesia Partners | Nurse Anesthetist, Certified Registered | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1375 | 2020-04-28 |
| 1891288783 | Scott A Kahre | Nurse Anesthetist, Certified Registered | 400 S Woods Mill Rd Ste 140, Chesterfield, MO 63017-3427 | 2018-06-14 |
| 1871086900 | Sarah O'leary | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017 | 2018-06-13 |
| 1083148795 | Lisa Corkery Boyce | Nurse Anesthetist, Certified Registered | 400 S Woods Mill Rd, Ste 140, Chesterfield, MO 63017-3429 | 2017-04-19 |
| 1225562598 | Jamie Leigh Vance | Nurse Anesthetist, Certified Registered | 400 S Woods Mill Rd, Ste 140, Chesterfield, MO 63017-3429 | 2017-04-13 |
| 1700323698 | Sarah Nagle | Nurse Anesthetist, Certified Registered | 400 S Woods Mill Rd, Suite 140, Chesterfield, MO 63017-3429 | 2017-01-30 |
| 1902262660 | Bridget Drury | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2016-01-11 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.