TRACY ROSEBERRY (NPI# 1083691489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083691489 |
Entity Type | Individual |
Full Name | TRACY ROSEBERRY |
Credential | WHNP |
Practice Address |
5003 Hardy St Suite 350 Hattiesburg MS 39402-1319 |
Mailing Address |
6524 U S Highway 98 Hattiesburg MS 39402-8569 |
Practice Telephone | 6012689393 |
Practice Fax Number | 6012689393 |
Mailing Telephone | 6012689393 |
Mailing Fax Number | 6012689393 |
Enumeration Date | 2005-12-27 |
Last Update Date | 2015-10-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R717789 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00118112 | 05 |
Street Address |
5003 HARDY ST SUITE 350 |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-1319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576458 | Claire C Morgan | Pediatrics | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2005-05-24 |
1295288033 | Jill Nicholas | Nurse Practitioner | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2016-07-28 |
1548640642 | Womens Pavilion of South Mississippi Pllc | Clinic/Center | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2015-06-03 |
1760882815 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 | 2014-08-26 |
1750667002 | Premier Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 | 2011-11-01 |
1982744348 | Hattiesburg Neonatology, Pllc | Pediatrics | 5003 Hardy St, Suite 302, Hattiesburg, MS 39402-1319 | 2007-02-07 |
1073612651 | Neurosurgery of Hattiesburg, Pa | Neurological Surgery | 5003 Hardy St, Ste 401, Hattiesburg, MS 39402-1319 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427556349 | Candace Johnson | Nurse Practitioner | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2018-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39402 |
Please comment or provide details below to improve the information on TRACY ROSEBERRY.
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.