TRACY LYNN DICKISON (NPI# 1225376338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225376338 |
| Entity Type | Individual |
| Full Name | TRACY LYNN DICKISON |
| Other Name | TRACY LYNN KURAS |
| Credential | CNS |
| Practice Address |
400 E 3rd St Essentia Health Duluth Clinic Duluth MN 55805 |
| Mailing Address |
400 E 3rd St Essentia Health Duluth Clinic Duluth MN 55805-1951 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
CNS0448 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R161111-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1225376338 | 05 | |
| MN | 1225376338 | 05 |
| Street Address |
400 E 3RD ST ESSENTIA HEALTH DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
| 1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
| 1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
| 1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
| 1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
| 1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472782 | Mary Joyce Gruber | Clinical Nurse Specialist | 45 10th St W Fl 41514, Saint Paul, MN 55102-1062 | 2020-03-18 |
| 1932661402 | Roberta Lynn Huna Wagner | Clinical Nurse Specialist | 800 E 28th St # Mr 94100, Minneapolis, MN 55407-3799 | 2019-04-03 |
| 1508487612 | Nicole Marie Jensen | Clinical Nurse Specialist | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-04-29 |
| 1154864965 | Nicole Anne Sarauer | Clinical Nurse Specialist | 1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082-6044 | 2016-11-28 |
| 1710381298 | Christine Larson | Clinical Nurse Specialist | 69 Exchange St W, Saint Paul, MN 55102-1004 | 2014-10-13 |
| 1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1477749554 | Nicole Marie Hentges | Clinical Nurse Specialist | 5520 Ridgewood Cv, Minnetrista, MN 55364-8239 | 2007-09-21 |
| 1972647378 | Kathleen Anne Nelson | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2007-02-18 |
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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.