TRACEY L MENDELSOHN (NPI# 1144341330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144341330 |
| Entity Type | Individual |
| Full Name | TRACEY L MENDELSOHN |
| Credential | NP |
| Practice Address |
495 Taylor Rd Montgomery AL 36117-3513 |
| Practice Telephone | 3342799333 |
| Practice Fax Number | 3342799057 |
| Mailing Telephone | 3342799333 |
| Mailing Fax Number | 3342799057 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1047856 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BOARD OF NURSING | 1-047856 | 01 |
| AL | RX NUMBER | 2218 | 01 |
| Street Address |
495 TAYLOR RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827882 | William E Thomas | Obstetrics & Gynecology | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2006-03-28 |
| 1104470970 | Allison H Carnes | Midwife | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2019-07-30 |
| 1407415581 | Frances Elizabeth Rutledge | Nurse Practitioner | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2019-06-11 |
| 1225521420 | Dana Moorer | Obstetrics & Gynecology | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2018-06-12 |
| 1689090094 | Brandi Mcnew | Counselor | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2014-03-10 |
| 1699023481 | Terri L Singletary | Nurse Practitioner | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2012-08-27 |
| 1972866887 | Tera S Carr | Physician Assistant | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2012-06-18 |
| 1831404003 | Cecelia G Tew | Advanced Practice Midwife | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2010-08-12 |
| 1194921254 | Paula J Sullivan | Obstetrics & Gynecology | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2007-06-25 |
| 1669506713 | Della K Fuller | Nurse Practitioner | 495 Taylor Rd, Montgomery, AL 36117-3513 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528696 | Agnes Oberkor | Nurse Practitioner | 201 Monroe St Ste 1440, Montgomery, AL 36104-3704 | 2018-08-16 |
| 1720503287 | Kimberly Ann Corona | Nurse Practitioner | 488 St. Lukes Dr., Montgomery, AL 36117 | 2017-08-07 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1568895589 | Amanda Dease Hargrove | Nurse Practitioner | 2065 E South Blvd Ste 401, Montgomery, AL 36116-2462 | 2013-08-13 |
| 1053750315 | Janet Marie Reed | Nurse Practitioner | 1758 Park Pl Ste 100, Montgomery, AL 36106-1133 | 2013-06-20 |
| 1215285879 | Lindsey T Barton | Nurse Practitioner | 7461 East Drive, Ste 102, Montgomery, AL 36117-2714 | 2012-08-29 |
| 1194043141 | Julie Pavach | Nurse Practitioner | 10506a Montgomery Rd, Montgomery, OH 45242-4402 | 2010-05-13 |
| 1740467745 | Megan Leigh Strickland | Nurse Practitioner | 114 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2008-01-22 |
| 1427065630 | Dianne Kay Wills | Nurse Practitioner | 2105 East South Boulevard, Attn; Palliative Care, Montgomery, AL 36116-2509 | 2006-08-01 |
| 1962434027 | Steven E Cox | Nurse Practitioner | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2006-07-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.