TRACY SHIBLA (NPI# 1881132249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881132249 |
| Entity Type | Individual |
| Full Name | TRACY SHIBLA |
| Other Name | MRS. TRACY ELAM |
| Credential | APRN |
| Practice Address |
2320 Retreat View Cir Sanford FL 32771 |
| Mailing Address |
525 Technology Park Lake Mary FL 32746-7107 |
| Practice Telephone | 4074023591 |
| Mailing Telephone | 4076472346 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9336184 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Villa Di Este Ter Unit 208, Heathrow, FL 327461693 | 4074023591 | |
| 3901 Coconut Palm Dr Ste 120, Tampa, FL 336198362 | 8132896597 |
| Street Address |
2320 RETREAT VIEW CIR |
| City | SANFORD |
| State | FL |
| Zip Code | 32771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| 1598174328 | Elia Mya Lexine | Physical Therapy Assistant | 1401 West Seminole Blvd, Sanford, FL 32771 | 2014-08-06 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404437 | Travita M Ramdin | Nurse Practitioner | 4800 Solara Cir Apt 4061, Sanford, FL 32771-0032 | 2020-10-16 |
| 1073135091 | Emma Markey Oteri | Nurse Practitioner | 5305 Bristol Cone Way, Sanford, FL 32771-8083 | 2020-05-13 |
| 1962046672 | Kamaljit Kaur | Nurse Practitioner | 129 Bella Rosa Cir, Sanford, FL 32771-5238 | 2019-11-05 |
| 1821657966 | Genevieve Gabriele D'amato | Nurse Practitioner | 522 Lake Eagle Ln, Sanford, FL 32773-4345 | 2019-06-12 |
| 1871053280 | Gregory Scott | Nurse Practitioner | 2017 Elizabeth Ct, Sanford, FL 32771-4513 | 2019-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1821457854 | Mary Theresia Bosman | Nurse Practitioner | 1180 W Nielson Rd, Sanford, MI 48657-9604 | 2016-02-18 |
| 1891041794 | Sandra Benscoter Reddecliff | Nurse Practitioner | 488 Still Forest Ter, Sanford, FL 32771-8382 | 2012-07-28 |
| 1225302326 | Nanette Climans | Nurse Practitioner | 106 Sophia Marie Cv, Sanford, FL 32771-7719 | 2012-03-07 |
| 1376789107 | Cheyanna Lynn Trujillo | Nurse Practitioner | 1007 Carthage St, Sanford, NC 27330-6343 | 2008-12-29 |
| Find all providers in SANFORD | ||||
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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.