MRS. TRACY LYNN JOHNSON (NPI# 1992938757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992938757 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LYNN JOHNSON |
| Credential | CFTS |
| Practice Address |
2309 S 17th St Ste 100 Wilmington NC 28401-8006 |
| Mailing Address |
8504 Lakeview Dr Wilmington NC 28412-3397 |
| Practice Telephone | 9103925806 |
| Practice Fax Number | 9103972867 |
| Mailing Telephone | 9105997077 |
| Mailing Fax Number | 9103972867 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CFTS0582 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | ABC | CFTS0582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980734 | Tracy Johnson | Behavioral Analyst | 8200 Haven Ave Apt 7211, Rancho Cucamonga, CA 91730-6972 | 2018-01-25 |
| 1588052419 | Tracy Johnson | Licensed Practical Nurse | 85 Floss Ave, Buffalo, NY 14211-1901 | 2014-12-30 |
| 1447665138 | Tracy Johnson | Registered Nurse | 120 Danville Dr, Leesburg, GA 31763-5706 | 2014-06-22 |
| 1255692638 | Tracy Darnelle Johnson | Registered Nurse | 985 Irvin Shoots Rd E, Marion, OH 43302-9739 | 2012-06-01 |
| 1194029520 | Tracy L Johnson | Registered Nurse | 709 Mulberry Dr W, West Bend, WI 53090-2257 | 2010-12-28 |
| 1568665578 | Tracy Ann Johnson | Counselor | 7420 Better Way Se, Snoqualmie, WA 99065 | 2007-06-07 |
| 1134322324 | Tracy L. Johnson | Speech-Language Pathologist | 2700 Feather Run Trl, Apt. E20, West Columbia, SC 29169-4966 | 2007-06-06 |
| 1891902433 | Tracy Lynne Johnson | Physical Therapy Assistant | 887 Lincoln Dr, Conneaut, OH 44030-2135 | 2007-05-16 |
| 1942343520 | Tracy Ann Johnson | Counselor | 5726 Marlin Road. Suite 200, Chattanooga, TN 37411 | 2007-02-14 |
| 1013528587 | Tracy R Johnson | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-08-10 |
| Street Address |
2309 S 17TH ST STE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585789 | Orthologix, LLC | Prosthetic/Orthotic Supplier | 2700 Silverside Rd Ste 5a, Wilmington, DE 19810-3724 | 2019-12-17 |
| 1699024489 | Genesis Diabetic Shoes & Medical Supplies | Prosthetic/Orthotic Supplier | 3806 1/2 Park Ave, Wilmington, NC 28403-6756 | 2012-09-07 |
| 1437450293 | Mid Atlantic Prosthetics and Orthotics North | Prosthetic/Orthotic Supplier | 2604 Kirkwood Hwy, Suite C, Wilmington, DE 19805-4910 | 2010-11-10 |
| 1750601944 | Adaptive Technologies, LLC | Prosthetic/Orthotic Supplier | 1960 South 17th Street, Suite 201, Wilmington, NC 28401 | 2010-06-10 |
| 1811128242 | Delaware Pedorthics | Prosthetic/Orthotic Supplier | 5321 Brandywine Pkwy, Wilmington, DE 19803-1471 | 2009-08-03 |
| 1851448419 | Floyds Braces & Limbs | Prosthetic/Orthotic Supplier | 1880 S 17th St, Wilmington, NC 28401-6444 | 2007-01-05 |
| 1780646653 | Country Cobbler, Ltd. | Prosthetic/Orthotic Supplier | 3501 Oleander Dr, Suite 11, Wilmington, NC 28403-0824 | 2006-04-05 |
| 1669472692 | Lawall Prosthetic/orthotics, Inc. | Prosthetic/Orthotic Supplier | 1822 Augustine Cut Off, Wilmington, DE 19803-4405 | 2005-08-01 |
| 1710344304 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2016-01-27 |
| 1518343482 | Balance Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 2604 Kirkwood Hwy, Unit C, Wilmington, DE 19805-4910 | 2015-08-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on MRS. TRACY LYNN JOHNSON.
| 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.