TRACY CAROLYN RICHARDSON


Address: 9200 W Wisconsin Ave, Trauma and Critical Care Surgery, Milwaukee, WI 53226-3522
Phone: 4148058623

TRACY CAROLYN RICHARDSON (NPI# 1982951612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982951612
Entity Type Individual
Full Name TRACY CAROLYN RICHARDSON
Other Name TRACY CAROLYN SIMON
Credential ACNP
Practice Address 9200 W Wisconsin Ave
Trauma and Critical Care Surgery
Milwaukee
WI 53226-3522
Practice Telephone 4148058623
Practice Fax Number 4148058641
Mailing Telephone 4148058623
Mailing Fax Number 4148058641
Enumeration Date 2012-08-13
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
7123 WI Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP60307006 WA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 9200 W WISCONSIN AVE
TRAUMA AND CRITICAL CARE SURGERY
City MILWAUKEE
State WI
Zip Code 53226-3522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255334173 Froedtert Memorial Lutheran Hospital, Inc. General Acute Care Hospital 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2005-05-24
1013518182 Shelby Koppinger Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1083215065 Jennifer Lynn Scheffler Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-11-05
1306445952 Elyan Carolina Ruiz Solano Thoracic Surgery (Cardiothoracic Vascular Surgery) 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1912504242 Matthew Resop Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-09
1043817877 Jacqueline Jordan Morgan Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-05
1134726227 Joseph Beiler Registered Nurse 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-02
1316553845 Nathan Duncan Pharmacist 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-21
1043826035 Emily Mell Physician Assistant 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912511155 Alexander Harlan Pharmacist 900 N 92nd St, Milwaukee, WI 53226 2020-09-04
1558985762 Armghan Haider Ans Student in an Organized Health Care Education/Training Program 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 2020-06-03
1669001103 Kimberly Tyler Student in an Organized Health Care Education/Training Program 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 2020-04-06
1972131993 Francesca Meloy Devine Student in an Organized Health Care Education/Training Program Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 2020-03-27
1285275248 Sharitta Alford Technician 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 2019-10-01
1619528023 Linda Marie Sabatinelli Technician 12107 W. Woodland Ave, Wauwatosa, WI 53226 2019-09-26
1598310195 Matthew Laviolette Surgery Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 2019-08-09
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1659832855 Benjamin David Seadler Surgery Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 2019-03-29
1861953267 Michael Dryden Student in an Organized Health Care Education/Training Program 8701 Watertown Plank Rd., Milwaukee, WI 53226 2019-03-27
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982258828 Amanda Nesta Nurse Practitioner 1812 E Howard Ave, Milwaukee, WI 53207-4000 2019-07-29
1720591035 Kelyn Marie Levy Nurse Practitioner 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 2017-11-08
1801124904 Jennifer Ottelien Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 2009-12-01
1295843266 Renee K Remington Nurse Practitioner 2801 W Kinnickinnic River Pkwy Ste 460, Milwaukee, WI 53215-3695 2006-08-29
1972101467 Sarah Emily Ziem Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-15
1700490521 Chelsea Marie Nettesheim Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-08-31
1508476870 Kristin Rebecca Kuester Nurse Practitioner 2301 N Lake Dr, Milwaukee, WI 53211-4508 2020-08-03
1730702341 Kinzie Christelle Frascello Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-05-19
1679194278 Chrystal Craft Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-05-05
1114565942 Meagan Ann Sluka Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-12-11
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Competitor

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City MILWAUKEE
Zip Code 53226

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Dataset Information

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.

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