TRACY JUDY (NPI# 1922534635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922534635 |
| Entity Type | Individual |
| Full Name | TRACY JUDY |
| Practice Address |
8423 Old State Rd # A Holly Hill SC 29059-8100 |
| Mailing Address |
Po Box 162 Po Box 162 Reevesville SC 29471-0162 |
| Practice Telephone | 8037593012 |
| Mailing Telephone | 8436361001 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
53782 | SC | Nursing Service Providers |
| Street Address |
8423 OLD STATE RD # A |
| City | HOLLY HILL |
| State | SC |
| Zip Code | 29059-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376918979 | Community Organization for Rights and Empowerment | Voluntary or Charitable | 1250 Unity Road, Holly Hill, SC 29059 | 2015-12-08 |
| 1518351139 | Holly Street Drugs, LLC | Pharmacy | 904 Holly Street, Holly Hill, SC 29059 | 2015-03-20 |
| 1710310735 | Troy Blakely Lamb | Pharmacist | 8530 Old State Rd., Holly Hill, SC 29059 | 2013-08-13 |
| 1861742231 | Michael James Myers | Pharmacist | 8523 Old State Road, Holly Hill, SC 29059 | 2012-09-13 |
| 1215208822 | Robert Rodelsperger Dmd Pa | Dentist | 912 Holly St, Holly Hill, SC 29059 | 2012-01-13 |
| 1053624262 | Stephanie R Jamison | Counselor | 421 Gardener Boulevard, Holly Hill, SC 29059 | 2010-07-16 |
| 1619158771 | Adams Optical Dba Holly Hill Eye Clinic | Optometrist | 190 Rental Dr., Holly Hill, SC 29059 | 2007-11-16 |
| 1780736710 | Total Comfort Adult Daycare | Home Health | 1706 Camden Rd, Holly Hill, SC 29059 | 2007-01-18 |
| 1255490314 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8523 Old State Rd, Holly Hill, SC 29059 | 2006-12-06 |
| 1881797900 | Chucks Pharmacy Inc | Pharmacy | 904 Holly St, Holly Hill, SC 29059 | 2006-09-06 |
| Find all providers in zip 29059 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558626 | Robyn Spampinato | Registered Nurse | 8423a Old State Rd, Holly Hill, SC 29059-8880 | 2019-10-04 |
| 1730507120 | Stacie Walling | Registered Nurse | 932 Holly St, Holly Hill, SC 29059-2762 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY HILL |
| Zip Code | 29059 |
Please comment or provide details below to improve the information on TRACY JUDY.
| 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.