TRACEY LYNN DANIELS (NPI# 1063954063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063954063 |
| Entity Type | Individual |
| Full Name | TRACEY LYNN DANIELS |
| Credential | PA-C |
| Practice Address |
10513 Wells Pt Fountain CO 80817 |
| Mailing Address |
10513 Wells Pt Fountain CO 80817-4229 |
| Practice Telephone | 7194928454 |
| Mailing Telephone | 7194928454 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0004836 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709264 | Tracey Lynne Daniels | Pharmacist | 501 Marsh Hawk Trl, Carrollton, VA 23314-3538 | 2018-05-03 |
| Street Address |
10513 WELLS PT |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| 1831587682 | Jennifer Ziemer | Dental Hygienist | 6436 Highway 85/87, Suite C, Fountain, CO 80817 | 2015-01-02 |
| Find all providers in zip 80817 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621152 | Paige Flanigan Thompson | Physician Assistant | 350 Lyckman Pl, Fountain, CO 80817-2861 | 2016-11-16 |
| 1073975314 | Kayla Marchesani | Physician Assistant | 350 Lyckman Pl, Fountain, CO 80817-2861 | 2016-03-25 |
| 1063666824 | Patrick Michael Cassidy | Physician Assistant | 350 Lyckman Pl, Fountain, CO 80817-2861 | 2008-11-06 |
| 1831376334 | Darren Kyle Dennis | Physician Assistant | 350 Lyckman Pl, Fountain, CO 80817-2861 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871518 | Emily Tracy | Physician Assistant | 172 Siesta Cir, Evergreen, CO 80439-4339 | 2020-11-05 |
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1043819576 | Patrick Ryan Murphy | Physician Assistant | 1160 Sandstone Dr, Vail, CO 81657-4408 | 2020-10-26 |
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
| 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.