TRACI MARLOWE (NPI# 1043601529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043601529 |
| Entity Type | Individual |
| Full Name | TRACI MARLOWE |
| Credential | ACNP |
| Practice Address |
140 Village St Suite 100 Birmingham AL 35242-6410 |
| Practice Telephone | 2059801744 |
| Practice Fax Number | 2059801334 |
| Mailing Telephone | 2059801744 |
| Mailing Fax Number | 2059801334 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
1081273 | AL | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1081273 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CAQH | 13792350 | 01 |
| AL | BLUE CROSS BLUE SHIELD OF ALABAMA | 51157383 | 01 |
| Street Address |
140 VILLAGE ST SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588616551 | William James Hedden | Plastic Surgery | 140 Village St, Suite 100, Birmingham, AL 35242-6410 | 2006-05-17 |
| 1124216635 | Jenni Cooper Goodson | Chiropractor | 140 Village St, Birmingham, AL 35242-6452 | 2007-10-09 |
| 1740485234 | Trenton H. Buchanan | Dentist | 140 Village St, Birmingham, AL 35242-5202 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 1619436490 | Amy Gamble Cole | Nurse Practitioner | 601 S 19th St, Birmingham, AL 35294-0001 | 2019-03-19 |
| 1609347574 | Jordan Tyler Chambers | Nurse Practitioner | 619 19th St S # Ohb251, Birmingham, AL 35249-1932 | 2018-12-17 |
| 1962972968 | Jonathan Mccrary | Nurse Practitioner | 100 Pilot Medical Dr Ste 250, Birmingham, AL 35235-3448 | 2018-12-03 |
| 1164935110 | Christion Danielle Green | Nurse Practitioner | 619 19th St S Ste P915, Birmingham, AL 35233-1900 | 2017-11-13 |
| 1255843900 | Robert Richardson | Nurse Practitioner | 1802 6th Ave South, Np 5240 5th Floor North Pavillion, Birmingham, AL 35233 | 2017-11-02 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on TRACI MARLOWE.
| 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.