TRACY SUZANNE COUSIN (NPI# 1003891144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003891144 |
| Entity Type | Individual |
| Full Name | TRACY SUZANNE COUSIN |
| Other Name | TRACY EIBENSTEINER |
| Credential | CNP |
| Practice Address |
1200 6th Avenue N St Cloud MN 56303 |
| Practice Telephone | 3202525131 |
| Practice Fax Number | 3202402118 |
| Mailing Telephone | 3202525131 |
| Mailing Fax Number | 3202402118 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R1602591 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 6TH AVENUE N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174911127 | Kristin Ann Gjerset | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2014-12-29 |
| 1578878112 | Mary Ann Heinicke | Nurse Practitioner | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2010-08-06 |
| 1073772653 | Sheri L Pikus | Nurse Practitioner | 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 | 2008-06-09 |
| 1831249549 | Patricia R Hart | Nurse Practitioner | 1200 Sixth Avenue North, St Cloud, MN 56303 | 2007-01-12 |
| 1962487017 | Triniti Lyn Feldhege | Nurse Practitioner | 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434461 | Debra L Lesslie | Nurse Practitioner | 347 North Smith Avenue, 70-505, Children's Specialty Clinic Nicu, St. Paul, MN 55102 | 2007-08-31 |
| 1568412922 | Sharron Thomson | Nurse Practitioner | Lakeview Hospital, 927 Churchill Street West, Stillwater, MN 55082 | 2006-05-10 |
| 1679541056 | Deborah J Barth | Nurse Practitioner | 3668 Pinecrest Ct, Eagan, MN 55123-1000 | 2006-03-10 |
| 1720056518 | Nicole E Riley | Nurse Practitioner | 14223 Arbre Ln N, Hugo, MN 55038-4449 | 2006-03-09 |
| 1528678133 | Kathy Daniella Lopez Vasquez | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-07 |
| 1558970376 | Corin Mauldin | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-28 |
| 1912525197 | Devon Ratliff-crain | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-14 |
| 1891313862 | Kelli Dawn Guth | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-07 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| 1538713201 | Erin Michelle Miller | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
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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.