TRACIE D SMITH (NPI# 1053381319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053381319 |
| Entity Type | Individual |
| Full Name | TRACIE D SMITH |
| Other Name | TRACIE DENISE EVATT |
| Credential | N.P. |
| Practice Address |
100 Omni Dr Suite B Seneca SC 29672-9448 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644822350 |
| Practice Fax Number | 8644822355 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN2677 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4697 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912264656 | Tracie V Smith | Social Worker | 1403 Eli Bowen Rd, Williamston, NC 27892-7942 | 2012-04-19 |
| 1992285225 | Tracie Smith | Physician Assistant | 400 S 43rd St, Renton, WA 98055-5714 | 2018-08-16 |
| 1619391752 | Tracie Smith | Counselor | 231 Se Barrington Dr, Suite 203, Oak Harbor, WA 98277-3200 | 2014-02-10 |
| 1760815088 | Tracie Smith | Nurse Practitioner | 244 Church St, Sumter, SC 29150 | 2013-08-11 |
| 1447503982 | Tracie L Smith | Social Worker | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2012-10-22 |
| 1033478458 | Tracie D Smith | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2012-05-04 |
| 1942346945 | Tracie Jeannette Smith | Physical Therapist | 10560 Old Olive Street Rd, Suite 100, Creve Coeur, MO 63141-5916 | 2007-01-29 |
| Street Address |
100 OMNI DR SUITE B |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047787 | Benjamin David Williamson | Nurse Practitioner | 100 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2016-08-09 |
| 1245696160 | Leah Jane Shirey | Nurse Practitioner | 100 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2016-01-07 |
| 1679799605 | Timothy Joseph Sanders | Family Medicine | 100 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2007-04-18 |
| 1336116532 | James W. New Cochran | Family Medicine | 100 Omni Dr, Ste B, Seneca, SC 29672-9448 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885426 | Ashley Jarzenski | Nurse Practitioner | 3512 State Route 257 Ste 108, Seneca, PA 16346-2946 | 2019-01-18 |
| 1497176457 | Dimetra Brewer | Nurse Practitioner | 301 Memorial Medical Drive, Suite F, Seneca, SC 29672-9445 | 2013-12-18 |
| 1710982772 | Kim Gosnell | Nurse Practitioner | 107 Omni Dr Ste A, Seneca, SC 29672-9448 | 2005-06-16 |
| 1154951234 | Julie Sue Myers | Nurse Practitioner | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2020-01-17 |
| 1104460898 | Veronica Casim Thrasher | Nurse Practitioner | 555 Bypass Highway 123 Ste C, Seneca, SC 29678-0810 | 2019-11-05 |
| 1528626041 | Bradley Williams | Nurse Practitioner | 16 Accountants Cir, Seneca, SC 29678-2670 | 2019-05-30 |
| 1154892347 | Kristen Rattigan | Nurse Practitioner | 1 Park Way, Seneca, PA 16346 | 2018-12-16 |
| 1770053092 | Kristin Marie Keck | Nurse Practitioner | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2018-11-29 |
| 1134697725 | Elizabeth Williams | Nurse Practitioner | 3744 State Route 257, Digestive Health, Seneca, PA 16346 | 2018-11-13 |
| 1356817449 | Lauren Craig | Nurse Practitioner | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2018-10-16 |
| Find all providers in SENECA | ||||
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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.