MRS. TRACY IRANSHAHR (NPI# 1003320334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003320334 |
Entity Type | Individual |
Full Name | MRS. TRACY IRANSHAHR |
Other Name | MRS. TRACY IRANSHAHR |
Credential | TRACY |
Practice Address |
2745 N Black Rock Rd Buckeye AZ 85396-1813 |
Practice Telephone | 6235377224 |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA10666 | AZ | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | DRIVERS LICENSE | D04163830 | 01 |
Street Address |
2745 N BLACK ROCK RD |
City | BUCKEYE |
State | AZ |
Zip Code | 85396-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
Find all providers in zip 85396 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952923674 | Cailey Bennie | Specialist/Technologist | 19530 W Indianola Ct, Buckeye, AZ 85396-8312 | 2020-05-15 |
1285159574 | Mariela Barbara Esquivel | Specialist/Technologist | 3682 S 257th Ave, Buckeye, AZ 85326-1831 | 2017-08-07 |
1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
1972049591 | Samantha Shaffer Cheatham | Specialist/Technologist | 968 S 222nd Ln, Buckeye, AZ 85326-8574 | 2017-01-07 |
1184087181 | Michelle Woods | Specialist/Technologist | 595 S 223rd Dr, Buckeye, AZ 85326-6202 | 2016-03-29 |
1609231836 | Julie Darr | Specialist/Technologist | 22029 W Hilton Ave, Buckeye, AZ 85326-3982 | 2015-12-14 |
1467838953 | Chelsea Drew | Specialist/Technologist | 20866 W Hamilton St, Buckeye, AZ 85396-1579 | 2015-08-06 |
1598148371 | Indira Markowski | Specialist/Technologist | 23991 W Bowker St, Buckeye, AZ 85326-7088 | 2015-06-30 |
1457756306 | Deb Joann Dorland | Specialist/Technologist | 2700 S 257th Dr, Buckeye, AZ 85326-1937 | 2014-11-04 |
1912300625 | Claudia Jarrett | Specialist/Technologist | 19871 W Fremont Rd, Buckeye, AZ 85326-9512 | 2014-10-08 |
Find all providers in BUCKEYE |
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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.