TRACEY WOODEN (NPI# 1104302983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104302983 |
| Entity Type | Individual |
| Full Name | TRACEY WOODEN |
| Practice Address |
9733 Healthway Dr Berlin MD 21811-1156 |
| Mailing Address |
10306 Gatewater Ct Ocean City MD 21842-8835 |
| Practice Telephone | 4106296886 |
| Mailing Telephone | 4432355610 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R168156 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9733 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097551 | Barbara Louise Manry | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2005-07-15 |
| 1962011668 | Stephanie Altman | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2020-07-28 |
| 1033739461 | Jessica Lauren Tate | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2020-04-27 |
| 1306408612 | Atlantic General Hospital Corporation | Social Worker | 9733 Healthway Dr, Atlantic General Hospital, Berlin, MD 21811 | 2019-07-08 |
| 1104395649 | Jennifer Lee Giordano | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2018-11-14 |
| 1346609179 | Daniel Hakeem | Physician Assistant | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2016-02-22 |
| 1427450469 | Michelle Sirman-wells | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2014-09-22 |
| 1003227729 | Atlantic General Hospital Corporation | Pharmacy | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2014-05-15 |
| 1851633499 | Tania Bellia-weiss | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2013-03-21 |
| 1700179413 | Stephen Alexander Chin | Anesthesiology | 9733 Healthway Dr, Agh Department of Anesthesiology, Berlin, MD 21811-1155 | 2011-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509482 | Molly Anne Powell | Nurse Practitioner | 222 Stockton Blvd, Berlin, NJ 08009-7111 | 2020-08-17 |
| 1518592039 | Carolyn Sosing Macuha | Nurse Practitioner | 314 Franklin Ave Ste 403, Berlin, MD 21811-1263 | 2020-03-04 |
| 1902436579 | Kevin Larochelle | Nurse Practitioner | 21 Grandview Dr, Berlin, NH 03570-1536 | 2020-01-22 |
| 1568012961 | Kirsten Didrikson | Nurse Practitioner | 130 Fisher Rd Ste 2, Berlin, VT 05602-9516 | 2019-09-17 |
| 1194283184 | Sandra Cetoute Gassant | Nurse Practitioner | 9954 N Main St Unit 3, Berlin, MD 21811-1299 | 2019-03-08 |
| 1083048383 | Christina Marie Tourangeau | Nurse Practitioner | 1311 Barre-montpelier Road, Suite 200, Berlin, VT 05602 | 2013-08-22 |
| 1992045363 | Gena Denice Swift | Nurse Practitioner | 314 Franklin Ave Ste 304, Berlin, MD 21811-1238 | 2013-02-22 |
| 1013010198 | Damd, Inc | Nurse Practitioner | 331 Buttercup Ct, Berlin, MD 21811 | 2006-09-06 |
| 1598741019 | Elisa Brettler Vandervort | Nurse Practitioner | 246 Granger Rd Ste 2, Berlin, VT 05602 | 2005-12-16 |
| 1871595876 | Susan Lessard | Nurse Practitioner | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2005-08-10 |
| Find all providers in BERLIN | ||||
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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.