MS. TRACIE DAWN EDWARDS (NPI# 1134384357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134384357 |
| Entity Type | Individual |
| Full Name | MS. TRACIE DAWN EDWARDS |
| Credential | HEARING AID SPECIALI |
| Practice Address |
7760 Route 417 W Bolivar NY 14715 |
| Mailing Address |
7760 Rt 417 West Bolivar NY 14715 |
| Practice Telephone | 5859281657 |
| Mailing Telephone | 5859281657 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2009-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | F03199 | PA | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | 15000016138 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEARING AID DISPENSER | F03199 | 01 |
| NY | HEARING AID DISPENSER | 15000016138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084760 | Tracie Susan Edwards | Technician | 4550 W Oakey Blvd Ste 101a, Las Vegas, NV 89102-1506 | 2020-08-19 |
| 1104486711 | Tracie Theresa Edwards | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-06-17 |
| 1215439617 | Tracie L Edwards | Case Manager/Care Coordinator | 2500 John Glenn Hwy, Cambridge, OH 43725-9028 | 2018-03-02 |
| 1821248865 | Tracie R Edwards | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2008-09-26 |
| Street Address |
7760 ROUTE 417 W |
| City | BOLIVAR |
| State | NY |
| Zip Code | 14715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972816197 | Tracie Edwards Dba The Hearing Aid Shop | Durable Medical Equipment & Medical Supplies | 7760 Route 417 W, Bolivar, NY 14715-9602 | 2010-07-16 |
| 1548408552 | The Hearing Aid Shop | Hearing Aid Equipment | 7760 Route 417 W, Bolivar, NY 14715-9602 | 2009-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740619154 | Robyn Sue Smith | Registered Nurse | 100 School Street, Bolivar, NY 14715 | 2013-11-06 |
| 1225191422 | Portville Pharmacy,inc. | Pharmacist | 323 Main St, Bolivar, NY 14715-1108 | 2006-12-18 |
| 1750326195 | Portville Pharmacy Inc | Pharmacy | 323 Main St, Bolivar, NY 14715-1108 | 2006-06-19 |
| 1477176667 | The Memorial Hospital of William F and Gertrude F Jones | Clinic/Center | 120 1st St, Bolivar, NY 14715-1132 | 2020-05-21 |
| 1982689030 | Richard P Cudahy | Internal Medicine | 120 1st St, Bolivar, NY 14715-1132 | 2005-12-13 |
| 1043365471 | Bolivar-richburg Central School District | Local Education Agency (LEA) | 100 School St, Bolivar, NY 14715-1235 | 2007-01-24 |
| 1568864049 | Sara Johnson | Registered Nurse | 100 School St, Bolivar, NY 14715-1235 | 2014-09-16 |
| 1558644831 | Victoria M Hefner | Registered Nurse | 100 School St, Bolivar, NY 14715-1235 | 2011-09-23 |
| 1831481878 | Cassie Dora Craft | Licensed Practical Nurse | 82 Olive St, Bolivar, NY 14715-1310 | 2011-05-10 |
| 1447652250 | Jennifer Baxter | Licensed Practical Nurse | 82 Olive St, Bolivar, NY 14715-1310 | 2014-09-24 |
| Find all providers in zip 14715 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538303987 | Robin L Parsons | Hearing Instrument Specialist | 3361 & 3363 S. Springfield Ave., Bolivar, MO 65613-4261 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534009 | Salvatore Anthony Scampone Iv | Hearing Instrument Specialist | 21245 26th Ave Ste 6, Bayside, NY 11360-1901 | 2020-03-26 |
| 1831726520 | Katelyn Rose Clark | Hearing Instrument Specialist | 605 E Main St Unit 19, Bay Shore, NY 11706-8505 | 2020-03-24 |
| 1134755069 | John Denaro Iv | Hearing Instrument Specialist | 1900 Empire Boulevard, Miracle Ear, Webster, NY 14580 | 2020-03-23 |
| 1346876216 | Jesse Bryant Fritche | Hearing Instrument Specialist | 426 Market St Unit 12, Nanuet, NY 10954-2744 | 2020-03-23 |
| 1356977433 | Donna Marie Maier | Hearing Instrument Specialist | 440a Main St, Oneonta, NY 13820-2027 | 2020-03-20 |
| 1427684570 | Elena Rose Brandhofer | Hearing Instrument Specialist | Big V Town Center 374 Route 32, Suite 1500, Vails Gate, NY 12584 | 2020-03-20 |
| 1578199774 | Morgan Rose Bills | Hearing Instrument Specialist | 833 West Union Street, Newark, NY 14513-1451 | 2020-03-19 |
| 1942836168 | Debra Ann Gargano | Hearing Instrument Specialist | 690 Stewart Ave Unit B, Garden City, NY 11530-4791 | 2020-03-19 |
| 1639703226 | William Hartman | Hearing Instrument Specialist | 20053 Summit View Blvd Ste 3, Watertown, NY 13601-2268 | 2020-02-24 |
| 1033749775 | Deborah Schultz | Hearing Instrument Specialist | 1000 Hylan Dr Unit C4, Rochester, NY 14623-4218 | 2020-01-22 |
| 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.