TRACY TABACCHI (NPI# 1255566675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255566675 |
| Entity Type | Individual |
| Full Name | TRACY TABACCHI |
| Credential | RN |
| Practice Address |
697 Pro-med Ln Carmel IN 46032-5323 |
| Practice Telephone | 3175870500 |
| Practice Fax Number | 3175741234 |
| Mailing Telephone | 3175870567 |
| Mailing Fax Number | 3175741230 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28164209A | IN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100073590 | 05 |
| Street Address |
697 PRO-MED LN |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016482 | Geraldine Melvin | Social Worker | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-07-11 |
| 1316544968 | Hannah Dennis | Case Manager/Care Coordinator | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2020-10-07 |
| 1942807615 | Ashleigh Wirtner | Social Worker | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2020-10-06 |
| 1407489248 | Megan E Crawford | Case Manager/Care Coordinator | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2020-02-20 |
| 1801436373 | Jennifer Anderson | Case Manager/Care Coordinator | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2020-01-13 |
| 1417594383 | Julie Lynn Quigley | Counselor | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2019-12-10 |
| 1992341861 | Melinda Schadler | Social Worker | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2019-11-26 |
| 1134764467 | Beth Ellen Ratliff | Case Manager/Care Coordinator | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2019-11-11 |
| 1326683632 | Diadra Spalding | Case Manager/Care Coordinator | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2019-11-11 |
| 1013572551 | Jason Mcdaniel | Marriage & Family Therapist | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366883498 | Deborah Bykowski | Registered Nurse | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2013-07-17 |
| 1659506020 | Dennis Mccombs | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2009-05-28 |
| 1053515205 | Stacee N Church | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2007-06-12 |
| 1720080468 | Charlotte Schild | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-12 |
| 1215939962 | Melody Gans | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-12 |
| 1659373306 | Anne Ward | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-12 |
| 1720080484 | Pamela Roebling | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-12 |
| 1609878354 | Jan Davila | Registered Nurse | 697 Pro-med Ln, Carmel, IN 46032-5323 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598159873 | Sandra Wright | Registered Nurse | 3331 Briar Ridge Way, Columbus, IN 47203-2704 | 2015-03-24 |
| 1295135929 | Nekisha Lynn Shahan | Registered Nurse | 4792 W Fall Creek Rd, Crawfordsville, IN 47933-9320 | 2014-08-29 |
| 1174706691 | Valerie J Rumple | Registered Nurse | 1909 Carew St, Fort Wayne, IN 46805 | 2007-12-06 |
| 1619184934 | Brooke K Peterson | Registered Nurse | 7230 Arbuckle Commons Ste 243, Brownsburg, IN 46112 | 2007-05-17 |
| 1447477120 | Patricia L Sheehan | Registered Nurse | 7842 Melbourne Rd, Indianapolis, IN 46268-2228 | 2007-04-20 |
| 1508961236 | Ellen Catherine Fagan-pryor | Registered Nurse | 2121 Lake Avene, Fort Wayne, IN 46805-5100 | 2006-09-14 |
| 1962504043 | Phyllis Anne Scott | Registered Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2006-09-01 |
| 1639125644 | Christina Marie Walden | Registered Nurse | 7346 Trotter Rd, Camby, IN 46113-9430 | 2006-05-25 |
| 1902205479 | Glynette Richard | Registered Nurse | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-08-20 |
| 1548683188 | Rachel Roberts | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-02-03 |
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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.