TRACI GOLL (NPI# 1164054755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164054755 |
| Entity Type | Individual |
| Full Name | TRACI GOLL |
| Credential | ARNP |
| Practice Address |
1000 4th St Sw Mason City IA 50401-2800 |
| Mailing Address |
621 S Illinois Ave Ste 103 Mason City IA 50401-5489 |
| Practice Telephone | 6414286300 |
| Practice Fax Number | 6414286374 |
| Mailing Telephone | 6414283041 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A157789 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 4TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453274 | Curtis Gedney | Family Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2005-08-02 |
| 1144829300 | Katie Shannon | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-10-20 |
| 1588289672 | Heidi Smith | Clinical Nurse Specialist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-06-15 |
| 1174154355 | Amanda Ann Walker | Physician Assistant | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-01-28 |
| 1679124002 | Jon Elmore | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-09-26 |
| 1225699028 | Jeremy Kevin Stamps | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-06-24 |
| 1285298943 | Anna Levan | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-04-29 |
| 1982162608 | Mohamed Abdi | Radiology | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-03-12 |
| 1477024123 | Jesse L Wineland | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2018-12-06 |
| 1093298713 | Audrey Lynn Benson | Physical Therapy Assistant | 1000 4th St Sw, Mason City, IA 50401-2800 | 2018-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018834 | Jessica J Younke | Nurse Practitioner | 1115 N Carolina Ave, Mason City, IA 50401-2343 | 2019-11-22 |
| 1871015453 | Ashley Alice Wilkinson | Nurse Practitioner | 1502 12th St Nw, Mason City, IA 50401-1814 | 2017-07-14 |
| 1003338286 | Carrie Potter | Nurse Practitioner | 1631 4th St Sw Ste 114, Mason City, IA 50401-1612 | 2017-07-10 |
| 1326417577 | Luke Armin Hachfeld | Nurse Practitioner | 2800 4th St Sw Ste 8, Mason City, IA 50401-1596 | 2015-09-17 |
| 1407098924 | Christine L Ressler | Nurse Practitioner | 535 Woodbine Ct, Mason City, IA 50401-2507 | 2009-03-30 |
| 1588789861 | Bladder Control Solutions, LLC | Nurse Practitioner | 210 N Hampshire Ave, Mason City, IA 50401-3523 | 2007-03-19 |
| 1528150661 | Nicolle L Medina | Nurse Practitioner | 404 N Federal Ave, Mason City, IA 50401-3214 | 2006-09-28 |
| 1023622628 | Ashley Matern | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2020-09-02 |
| 1649882820 | Jill D Connell | Nurse Practitioner | 404 N Federal Ave, Mason City, IA 50401-3214 | 2020-08-19 |
| 1407486194 | Heather Ann Bucklin | Nurse Practitioner | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-01-22 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on TRACI GOLL.
| 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.