Tracy A Shreve (NPI# 1154787877, PAC ID# 8628372331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154787877 |
| PAC ID by PECOS | 8628372331 |
| Professional Enrollment ID | I20170511001352 |
| Full Name | Tracy A Shreve |
| Organization Legal Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Address |
220 Irby St Woodruff SC 29388-1618 |
| Phone Number | 8645822411 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022928001 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 220 Irby St, Woodruff, SC 29388-1618 | 8645822411 | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Organization Legal Name | REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Wilkie | Physician Assistant | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Melisa Hammett | Nurse Practitioner | Regenesis Organization Community Health Center | 1604 N Limestone St, Gaffney, SC 29340-2312 |
| Dianna Garrett | Nurse Practitioner | Regenesis Organization Community Health Center | 750 S Church St, Spartanburg, SC 29306-5348 |
| Ernestina French | Family Medicine | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Matthew J Delfino Jr. | Family Medicine | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Anita Charie Belue | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Roland Rogers | Nurse Practitioner | Regenesis Organization Community Health Center | 301 Crescent Ave, Spartanburg, SC 29306-4143 |
| Nicole Marie Segarra | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Adam T Hammett | Nurse Practitioner | Regenesis Organization Community Health Center | 750 S Church St, Spartanburg, SC 29306-5348 |
| Jason Hennessy | Nurse Practitioner | Regenesis Organization Community Health Center | 460 Langdon St, Spartanburg, SC 29302-1614 |
| Street Address |
220 IRBY ST |
| City | WOODRUFF |
| State | SC |
| Zip | 29388-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Allen | Chiropractic | 133 N Main St, Woodruff, SC 29388-1845 | |
| Mark Boyer Fullerton | Chiropractic | 109 S Main St, Woodruff, SC 29388-1849 | |
| Mukesh M Gandhi | Internal Medicine | 409 E Georgia St, Woodruff, SC 29388-1915 | |
| Timothy G Davis | Physical Therapy | Pro Physical Therapy Inc | 535 Laurens Rd, Woodruff, SC 29388-2209 |
| Erica Paige Sumner Fain | Physical Therapy | Pro Physical Therapy Inc | 535 Laurens Rd, Woodruff, SC 29388-2209 |
| Izildinha R Goncalves | Physical Therapy | Pro Physical Therapy Inc | 535 Laurens Rd, Woodruff, SC 29388-2209 |
| Kathleen H Hall | Nurse Practitioner | Spartanburg Medical Center | 511 Cross Anchor Rd, Woodruff, SC 29388-2328 |
| James Elwyn James | General Practice | 100 Medical Ctr Dr, Woodruff, SC 29388-8704 | |
| Edwin O Byrd Iii | Family Medicine | 7720 Reidville Rd, C, Woodruff, SC 29388-9194 |
| City | WOODRUFF |
| Zip Code | 29388 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODRUFF + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracy A Shreve.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.