TRACY EASTRIDGE (NPI# 1992789341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992789341 |
| Entity Type | Individual |
| Full Name | TRACY EASTRIDGE |
| Credential | RD, LDN, CDE |
| Practice Address |
660 Summit Crossing Pl Suite #306 Gastonia NC 28054-2104 |
| Mailing Address |
3922 Biggers Rd York SC 29745-7700 |
| Practice Telephone | 7046717830 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
L002783 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 00207 | 01 |
| NC | PARTNERS MEDICARE HMO | 680HOS | 01 |
| NC | AETNA | 0067840 | 01 |
| NC | 3400032S | 05 | |
| NC | WELLPATH | 3697 | 01 |
| NC | 3400032 | 05 | |
| NC | CIGNA | 0590625010 | 01 |
| NC | FEDERAL BLACK LUNG | 312280 | 01 |
| NC | UNITED HEALTHCARE | 5040770 | 01 |
| Street Address |
660 SUMMIT CROSSING PL SUITE #306 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842727 | Paula A Lundgren | Surgery | 660 Summit Crossing Pl, Suite 203, Gastonia, NC 28054-2104 | 2005-09-22 |
| 1528550415 | Emily Rayfield | Nurse Practitioner | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2018-06-06 |
| 1700259199 | Rhodenna M Arn | Nurse Practitioner | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2015-11-06 |
| 1639456486 | Derek J Eaton Dds Pllc | Clinic/Center | 660 Summit Crossing Pl, Suite 303, Gastonia, NC 28054-2104 | 2011-11-08 |
| 1477649432 | Derek J Eaton | Dentist | 660 Summit Crossing Pl, Suite 303, Gastonia, NC 28054-2104 | 2006-10-05 |
| 1922067057 | Perry W Aycock Jr. | Internal Medicine | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2006-03-18 |
| 1831158963 | Jasper Carl Stowe IIi | Physician Assistant | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2006-03-18 |
| 1801855085 | Chandra Shakara Shastry | Internal Medicine | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2006-03-17 |
| 1659349744 | David Timothy Thomas | Internal Medicine | 660 Summit Crossing Pl, Suite 301, Gastonia, NC 28054-2104 | 2006-03-14 |
| 1568430650 | Ronald Wyman Digby | Internal Medicine | 660 Summit Crossing Pl, Gastonia, NC 28054-2104 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931882 | Patricia Cherry | Dietitian, Registered | 660 Summit Crossing Pl, Suite #306, Gastonia, NC 28054-2104 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649662982 | Thomas Rodgers Jr. | Dietitian, Registered | 4105 Lawndale Pl, Greensboro, NC 27455-1637 | 2015-02-24 |
| 1306243399 | Natalie Dickinson | Dietitian, Registered | 225 Haw Creek Mews Dr, Asheville, NC 28805-1966 | 2014-11-19 |
| 1124303722 | Halifax County Health Department | Dietitian, Registered | 19 North Dobbs St., Halifax, NC 27839-0010 | 2011-10-14 |
| 1386932739 | Doris Fiorillo Wicks | Dietitian, Registered | 19220 Makayla Ln, Cornelius, NC 28031-6527 | 2011-07-19 |
| 1568626109 | Jane E. Stegner | Dietitian, Registered | 2393 Jefferson Ave, Winston Salem, NC 27103-4315 | 2008-07-14 |
| 1801079298 | Michelle Lila Blitstein | Dietitian, Registered | 4812 Carmel Park Dr, Charlotte, NC 28226-5131 | 2007-12-09 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| 1053339952 | Nalini Narahari | Dietitian, Registered | 202 Bradwyck Dr, Cary, NC 27513-9414 | 2006-07-18 |
| 1043278195 | Integrative Therapies, Inc. | Dietitian, Registered | 7 E Oak Branch Dr, Greensboro, NC 27407 | 2006-05-01 |
| 1295386001 | Be Nutrition LLC | Dietitian, Registered | 4651 Charlotte Park Dr Ste 101c, Charlotte, NC 28217-1916 | 2019-09-23 |
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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.