TRACI M BOPP (NPI# 1013194448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013194448 |
| Entity Type | Individual |
| Full Name | TRACI M BOPP |
| Other Name | TRACI BOPP |
| Credential | RN |
| Practice Address |
898 E Main St Greenwood IN 46143-1407 |
| Practice Telephone | 3178835275 |
| Practice Fax Number | 3178821631 |
| Mailing Telephone | 3178835275 |
| Mailing Fax Number | 3178821631 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28129411A | IN | Nursing Service Providers |
| Street Address |
898 E MAIN ST |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087620 | Select Specialty Hospital - Indianapolis Inc | Long Term Care Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2005-07-21 |
| 1366985046 | Michael Coryea | Registered Nurse | 898 E Main St, Greenwood, IN 46143 | 2016-11-29 |
| 1104239516 | Venu Alapati | Psychiatry & Neurology | 898 E Main St, Greenwood, IN 46143-1407 | 2014-06-04 |
| 1629336714 | Donna Cisco | Social Worker | 898 E Main St, Greenwood, IN 46143-1407 | 2012-04-26 |
| 1366712804 | Rita Kathleen Mahan | Counselor | 898 E Main St, Greenwood, IN 46143-1407 | 2011-12-30 |
| 1316216963 | Susan A Michnay | Social Worker | 898 E Main St, Greenwood, IN 46143-1407 | 2011-12-27 |
| 1417248972 | Ellen Irene Harrington | Counselor | 898 E Main St, Greenwood, IN 46143-1407 | 2011-05-02 |
| 1164729174 | Joyce Ann Briggs | Registered Nurse | 898 E Main St, Greenwood, IN 46143-1407 | 2011-02-28 |
| 1336300359 | Valle Vista LLC | Counselor | 898 E Main St, Greenwood, IN 46143-1407 | 2008-06-23 |
| 1467612341 | Valle Vista LLC | Psychiatric Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505017 | Jeanne Gynelle Wooden | Registered Nurse | 5665 Fort Rd, Greenwood, FL 32443-1969 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598159873 | Sandra Wright | Registered Nurse | 3331 Briar Ridge Way, Columbus, IN 47203-2704 | 2015-03-24 |
| 1295135929 | Nekisha Lynn Shahan | Registered Nurse | 4792 W Fall Creek Rd, Crawfordsville, IN 47933-9320 | 2014-08-29 |
| 1174706691 | Valerie J Rumple | Registered Nurse | 1909 Carew St, Fort Wayne, IN 46805 | 2007-12-06 |
| 1619184934 | Brooke K Peterson | Registered Nurse | 7230 Arbuckle Commons Ste 243, Brownsburg, IN 46112 | 2007-05-17 |
| 1447477120 | Patricia L Sheehan | Registered Nurse | 7842 Melbourne Rd, Indianapolis, IN 46268-2228 | 2007-04-20 |
| 1508961236 | Ellen Catherine Fagan-pryor | Registered Nurse | 2121 Lake Avene, Fort Wayne, IN 46805-5100 | 2006-09-14 |
| 1962504043 | Phyllis Anne Scott | Registered Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2006-09-01 |
| 1639125644 | Christina Marie Walden | Registered Nurse | 7346 Trotter Rd, Camby, IN 46113-9430 | 2006-05-25 |
| 1902205479 | Glynette Richard | Registered Nurse | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-08-20 |
| 1548683188 | Rachel Roberts | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-02-03 |
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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.