MRS. TRACY A. BLOOM (NPI# 1982747853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982747853 |
| Entity Type | Individual |
| Full Name | MRS. TRACY A. BLOOM |
| Credential | RN |
| Practice Address |
62 Pawnee Dr Commack NY 11725-4222 |
| Practice Telephone | 6318646402 |
| Mailing Telephone | 6318646402 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 509923-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02365382 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257939 | Tracy Bloom | Counselor | 17301 W Colfax Ave Ste 275, Golden, CO 80401-4886 | 2020-08-24 |
| 1699858357 | Tracy Roy Bloom II | Registered Nurse | 1705 Georgia St, Napa, CA 94559-1621 | 2006-10-24 |
| 1396707212 | Tracy James Bloom | Chiropractor | 100 Great Oaks Blvd, Suite 106, Albany, NY 12203-7924 | 2006-04-05 |
| 1386921765 | Tracy Bloom | Counselor | 5413e Backlick Rd, Springfield, VA 22151-3915 | 2011-11-13 |
| Street Address |
62 PAWNEE DR |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031447 | Agnieszka Katarzyna Pas | Registered Nurse | 12 Pierre Dr, Commack, NY 11725-4410 | 2019-09-05 |
| 1447762620 | Pamela Jean Desmond | Registered Nurse | 1 Radburn Dr, Commack, NY 11725-1116 | 2017-10-28 |
| 1023429578 | Jodi Friedberg | Registered Nurse | 16 Cedarwood Ln, Commack, NY 11725-5617 | 2014-05-17 |
| 1699104042 | Natasha Copelin | Registered Nurse | 164 Commack Rd Ste 6, Commack, NY 11725 | 2013-11-06 |
| 1871830661 | Clare Marie Frisina | Registered Nurse | 2 Indian Head Rd, Commack, NY 11725-2207 | 2013-01-14 |
| 1184961476 | Regina Seyun Song | Registered Nurse | 500 Commack Road, Suite 204, Stony Brook Wtc Wellness Program, Commack, NY 11725 | 2013-01-07 |
| 1861708380 | Jean Marie Konski | Registered Nurse | 7 Pawnee Dr, Commack, NY 11725-4210 | 2010-08-21 |
| 1578875928 | Celia Betty Bilfinger | Registered Nurse | 500 Commack Rd Suite 204, World Trade Center Health Program, Commack, NY 11725 | 2010-07-13 |
| 1437471976 | Sharon Vosefski | Registered Nurse | 12 Caramel Ct, Commack, NY 11725-1007 | 2010-02-25 |
| 1619299732 | Tracey Parisi | Registered Nurse | 24 Patricia Dr, Commack, NY 11725-3308 | 2010-02-16 |
| Find all providers in COMMACK | ||||
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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.