TRACY L FREER (NPI# 1205992849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205992849 |
| Entity Type | Individual |
| Full Name | TRACY L FREER |
| Credential | ANP, RN |
| Practice Address |
634 S Bailey St Suite 207 Palmer AK 99645-6330 |
| Mailing Address |
634 S Bailey St Ste 207 Palmer AK 99645-6360 |
| Practice Telephone | 9077457080 |
| Practice Fax Number | 9077456263 |
| Mailing Telephone | 9077457080 |
| Mailing Fax Number | 9077456263 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
9769 | AK | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
241 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | COMPSYCH | 252309 | 01 |
| COMMERCIAL INSURANCE | 45-5503677 | 01 | |
| AK | VALUE OPTION | 416445 | 01 |
| AK | MEDICARE GROUP | K152469 | 01 |
| AK | AETNA | 350238000 | 01 |
| AK | CIGNA | 2206673 | 01 |
| AK | MH9931 | 05 |
| Street Address |
634 S BAILEY ST SUITE 207 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164465712 | Jason Brooks | Family Medicine | 634 S Bailey St, Ste 104, Palmer, AK 99645-6330 | 2006-06-13 |
| 1548613243 | Green Psychological Services, LLC | Community/Behavioral Health | 634 S Bailey St, 106, Palmer, AK 99645-6360 | 2016-07-18 |
| 1508121096 | Borealis Behavioral Health | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2012-07-10 |
| 1669754370 | William Kerst | Clinical Neuropsychologist | 634 S Bailey St, Ste 106, Palmer, AK 99645-6360 | 2011-09-20 |
| 1184771750 | Jana T Miner-collins | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2007-01-04 |
| 1891842472 | Michael William Johndro | Marriage & Family Therapist | 634 S Bailey St, Suite 207, Palmer, AK 99645-6330 | 2007-01-04 |
| 1356368054 | Palmer Family Medicine Inc | Family Medicine | 634 S Bailey St, Suite 104, Palmer, AK 99645-6330 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538720404 | Deanna Mae Casiano | Nurse Practitioner | 14460 E Pace Dr, Palmer, AK 99645-9964 | 2019-06-21 |
| 1700345717 | Kristen Rose Briody | Nurse Practitioner | 42 Wright Street, Palmer, MA 01069-1156 | 2019-03-19 |
| 1902292386 | Zan Michael Whitman | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2015-04-12 |
| 1255724308 | James Edward Bernhard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2015-03-13 |
| 1851784193 | Roma Y Estevez | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2015-03-11 |
| 1811316987 | Jennifer Byers | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2014-04-15 |
| 1548515711 | Judith Jorge-leonard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2012-07-13 |
| 1508059163 | Helen M Duda | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2007-08-27 |
| 1548395015 | Susan Williams | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2007-02-23 |
| 1285769919 | Kathleen Marie Megha Hammaker | Nurse Practitioner | 425 E Dahlia Ave, Ste Mb, Palmer, AK 99645-6414 | 2007-02-22 |
| Find all providers in PALMER | ||||
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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.