MS. TRACIE RENEA NELSON (NPI# 1093327314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093327314 |
| Entity Type | Individual |
| Full Name | MS. TRACIE RENEA NELSON |
| Credential | PHD |
| Practice Address |
729 S Walnut St Marysville OH 43040-1643 |
| Practice Telephone | 9376429555 |
| Mailing Telephone | 9376429555 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
729 S WALNUT ST |
| City | MARYSVILLE |
| State | OH |
| Zip Code | 43040-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104213925 | Wings Enrichment Center | Counselor | 729 S Walnut St, Marysville, OH 43040-1643 | 2015-04-20 |
| 1659988251 | Mindy Crowe | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-09-28 |
| 1104438423 | Danika Phipps | Behavior Technician | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-08-18 |
| 1184252652 | Donald W Warneke | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-31 |
| 1801424320 | Noel Edgar Brown | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1639707128 | Shawn Kevin Ryan | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1073141560 | Jeffrey Brian Egelhoff | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1225666720 | Kristi Lynn Inskeep | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1033747530 | Patricia Lentz | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1699303313 | Karla Marguerite Boyle | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526951 | Amy Crain | In Home Supportive Care | 11555 Us Rt. 36, Marysville, OH 43040 | 2020-10-22 |
| 1669955415 | Kevin Decot | Acupuncturist | 211 Stocksdale Drive, Marysville, OH 43040 | 2018-09-07 |
| 1063941417 | Luke Schweiss Dmd Inc. | Dentist | 951 N Maplestreet, Marysvile, OH 43040 | 2017-06-08 |
| 1962943480 | Mande Postle | Social Worker | 16920 Square Dr., Marysville, OH 43040 | 2017-03-16 |
| 1902341688 | John Edward Kleinman | Specialist | 1361 Oak Knoll Court, Marysville, OH 43040 | 2017-01-04 |
| 1598211096 | Cynthia Marie Oberdier | Massage Therapist | 16501 Square Dr, Marysville, OH 43040 | 2016-08-25 |
| 1861946535 | Michele Hope Miley-scott | Counselor | 18200 St Rt 4r, Marysville, OH 43040 | 2016-08-10 |
| 1508219015 | Tonya M Grubb | Private Vehicle | 670 Rainbow Dr, Marysville, OH 43040 | 2016-07-20 |
| 1346636826 | Tara L Nickle | Social Worker | 1479 Collins Ave., Ohio Reformatory for Women, Marysville, OH 43040 | 2015-04-10 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| Find all providers in zip 43040 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211078 | Sonya Leann Daum | Peer Specialist | 793 Millcrest Dr, Marysville, OH 43040-1851 | 2020-03-25 |
| 1801435557 | Thomas Macdonald | Peer Specialist | 656 Kenny Ln, Marysville, OH 43040-1389 | 2019-12-29 |
| 1659988251 | Mindy Crowe | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-09-28 |
| 1184252652 | Donald W Warneke | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-31 |
| 1801424320 | Noel Edgar Brown | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1639707128 | Shawn Kevin Ryan | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1073141560 | Jeffrey Brian Egelhoff | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1225666720 | Kristi Lynn Inskeep | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1033747530 | Patricia Lentz | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1699303313 | Karla Marguerite Boyle | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-29 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 43040 |
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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.