MRS. TRACY CHANG (NPI# 1912456989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912456989 |
| Entity Type | Individual |
| Full Name | MRS. TRACY CHANG |
| Credential | CRNP |
| Practice Address |
9715 Medical Center Dr Ste 531 Rockville MD 20850-3310 |
| Practice Telephone | 3014249723 |
| Practice Fax Number | 3014249209 |
| Mailing Telephone | 3014249723 |
| Mailing Fax Number | 3014249209 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R191089 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730576687 | Tracy Yun-shin Chang | Student in an Organized Health Care Education/Training Program | 78 Lincoln Ave, Port Jefferson Station, NY 11776-1350 | 2015-04-17 |
| 1700152253 | Tracy Chang | Student in an Organized Health Care Education/Training Program | Dept of Anesthesiology Univ of Washington, Box 356540, Seattle, WA 98195-6540 | 2012-03-29 |
| Street Address |
9715 MEDICAL CENTER DR STE 531 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207920 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 531, Rockville, MD 20850-3310 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1881155901 | Princess Stephenson | Nurse Practitioner | 15200 Shady Grove Rd Ste 320, Rockville, MD 20850-3218 | 2019-03-29 |
| 1609337252 | Esther Vinolia Koilpillai | Nurse Practitioner | 15225 Shady Grove Rd Ste 304, Rockville, MD 20850-3256 | 2019-03-27 |
| 1790242493 | Annette M Jamison | Nurse Practitioner | 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 | 2019-02-28 |
| 1548727811 | Erica Michelle Moreland | Nurse Practitioner | 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 | 2019-02-22 |
| 1114405537 | Baekcheol Lee | Nurse Practitioner | 15200 Shady Grove Rd Ste 108, Rockville, MD 20850-3218 | 2018-07-30 |
| 1568956530 | Insun Choi Mandlebaum | Nurse Practitioner | 12253 Tildenwood Dr, Rockville, MD 20852-4161 | 2018-06-21 |
| 1366945016 | Hannah Hyekyung Lee | Nurse Practitioner | 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 | 2018-03-08 |
| 1982119376 | Oyebisi Ifeoluwa-eniola Olanrewaju | Nurse Practitioner | 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 | 2017-12-06 |
| Find all providers in ROCKVILLE | ||||
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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.