TRACI MCCLAY (NPI# 1255966685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255966685 |
| Entity Type | Individual |
| Full Name | TRACI MCCLAY |
| Credential | APRN-CNP |
| Practice Address |
5501 N Portland Ave Oklahoma City OK 73112-2074 |
| Mailing Address |
2130 Red Elm Dr Edmond OK 73013-5659 |
| Practice Telephone | 4056046000 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
106186 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
106186 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5501 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
| 1154954873 | Nathan C Defee | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-02-20 |
| 1114566270 | Marianna Gail Eubanks | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-01-06 |
| 1104475151 | William R Low | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-09-11 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1720563711 | Austin Graham Trent | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2018-09-26 |
| 1912432048 | Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-26 |
| 1053844365 | Ellen Mclain | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-05 |
| 1487035598 | Paige Willis | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Anesthesia Department, Oklahoma City, OK 73112-2074 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821508037 | Bridget Ann Van Treese | Nurse Practitioner | 2828 Nw 57th St Ste 300, Oklahoma City, OK 73112-7070 | 2017-10-03 |
| 1356862338 | Heather Spiegel | Nurse Practitioner | 3435 Nw 56th St Ste 711, Oklahoma City, OK 73112-4414 | 2017-06-29 |
| 1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
| 1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
| 1184243396 | Mary Katherine Ranchhod | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-04-09 |
| 1164067484 | Barbara Myra Peterson | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-11-11 |
| 1356902019 | Chelsea Mae Bruster | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-06-24 |
| 1750947321 | Courtney Needham | Nurse Practitioner | 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 | 2019-05-19 |
| 1699331371 | Kendra Jo Peters | Nurse Practitioner | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2019-05-17 |
| 1740749696 | Stephanie L Vanhooser | Nurse Practitioner | 3433 Nw 56th St Ste 760, Oklahoma City, OK 73112-4461 | 2019-03-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on TRACI MCCLAY.
| 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.