TRACY T KELLY (NPI# 1194820456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194820456 |
| Entity Type | Individual |
| Full Name | TRACY T KELLY |
| Other Name | TRACY DANIELLE THOMAS |
| Credential | MD |
| Practice Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Mailing Address |
Po Box 5299 Tacoma WA 98415-0299 |
| Practice Telephone | 2534034538 |
| Mailing Telephone | 2534034538 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00045647 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982948725 | Tracy Susan Kelly | Counselor | 505 S Arlington Ave Ste 212-d, Reno, NV 89509-1527 | 2012-11-17 |
| 1942851308 | Tracy Kelly | Behavior Technician | 1901 S Main St, Keller, TX 76248-5120 | 2019-09-26 |
| 1558630384 | Tracy L Kelly | Social Worker | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-12-23 |
| 1194949388 | Tracy Ann Kelly | Specialist/Technologist, Other | 3000 Sw 148th Ave, Suite 200, Miramar, FL 33027-4169 | 2007-04-12 |
| 1891858668 | Tracy Kelly | Pediatrics | 205 Sage Rd, Suite 100, Chapel Hill, NC 27514-6995 | 2006-12-19 |
| 1518057249 | Tracy Rebecca Kelly | Radiology | 9200 W Wisconsin Ave, Dept of Radiation Oncology, Milwaukee, WI 53226-3522 | 2006-10-13 |
| Street Address |
315 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993298 | Catrina M. Funk | Obstetrics & Gynecology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-06-22 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1639782741 | Angie Kim Nguyen | Pediatrics | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-08-28 |
| 1720603558 | Louie Joseph Scalise II | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-08 |
| 1255951760 | Jamie R Sprague | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-04-24 |
| 1629606959 | Melissa Ann Sauvage | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-31 |
| 1326675752 | Rajeshwari Shrestha | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-25 |
| 1013542422 | Heather Bahrt | Dietitian, Registered | 315 Martin Luther King Jr Way, Ms- 315c2hin, Tacoma, WA 98405-4234 | 2020-03-05 |
| 1457986150 | Deannita Fielding | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-03 |
| 1336789551 | Yuliana Garcia | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1417441189 | Iora Senior Health, Inc | Internal Medicine | 5006 Center St Ste R, Tacoma, WA 98409-2314 | 2018-06-18 |
| 1023525698 | Comprehensive Postacute Care Pllc | Internal Medicine | 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3480 | 2018-01-04 |
| 1972034494 | Brian Hagan | Internal Medicine | 1717 S. J. Street, Suite 336, S. Pavilion, Ms 01-30, Tacoma, WA 98405 | 2017-03-26 |
| 1184967242 | Jerry Hu | Internal Medicine | 415 6th Ave Unit 505, Tacoma, WA 98402-2310 | 2013-03-27 |
| 1639426232 | Desiree Marie Lehmann | Internal Medicine | 1717 S J St # Ms 01-36, Tacoma, WA 98405-4933 | 2012-08-14 |
| 1720344617 | Don Nguyen | Internal Medicine | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402 | 2012-04-05 |
| 1437445855 | Alexander A Divin | Internal Medicine | 1717 South J Street Suite 336, South Pavillion, Ms 01-30, Tacoma, WA 98405 | 2011-06-23 |
| Find all providers in TACOMA | ||||
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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.