MRS. TRACY SHABU (NPI# 1194352963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194352963 |
Entity Type | Individual |
Full Name | MRS. TRACY SHABU |
Practice Address |
714 Windy Peak Loop Cary NC 27519-1886 |
Practice Telephone | 9199144097 |
Mailing Telephone | 9199144097 |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-03-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
11180114 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
714 WINDY PEAK LOOP |
City | CARY |
State | NC |
Zip Code | 27519-1886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478918 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 150 Wellesley Trade Ln, Cary, NC 27519 | 2020-08-18 |
1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
1366084188 | Monarch | Community/Behavioral Health | 740 Magalloway Drive, Cary, NC 27519 | 2019-10-14 |
1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
1861974131 | Tasha Ann Cadet | Marriage & Family Therapist | 235 Michigan Ave, Cary, NC 27519 | 2018-09-04 |
1295217628 | Stacey Janette Wilson | Marriage & Family Therapist | 235 Michigan Avenue, Cary, NC 27519 | 2018-09-01 |
1275029720 | Melissa Holt | Nurse Practitioner | 212 Towne Village Drive, Cary, NC 27519 | 2018-07-09 |
1912432162 | Margaret Creed Thompson | Behavioral Analyst | 210 Tals Rock Way, Suite 3, Cary, NC 27519 | 2017-04-25 |
1154799088 | Ashley Hudson | Nurse Practitioner | 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 | 2015-09-09 |
1639557200 | Aseem Kaul | General Practice | 101 Maynard Crossing Court, Chapel Hill, NC 27519 | 2015-05-14 |
Find all providers in zip 27519 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114386224 | Linda Mayo | Nurse Practitioner | 609 Hogans Valley Way, Cary, NC 27513-5696 | 2016-02-17 |
1811502669 | Brielle Reyes | Nurse Practitioner | 600 New Waverly Pl, Cary, NC 27518-7404 | 2020-09-09 |
1104200815 | Heather Santori | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2015-07-13 |
1114183548 | Southern Geriatrics, LLC | Nurse Practitioner | 1310 Se Maynard Rd, Suite 202, Cary, NC 27511-3615 | 2008-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
1073057329 | Steven Angelos Marinos | Nurse Practitioner | 107 Regulator Dr, Clayton, NC 27520-8719 | 2016-12-06 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. TRACY SHABU.
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.