TRACEY BUTAY (NPI# 1265941868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265941868 |
| Entity Type | Individual |
| Full Name | TRACEY BUTAY |
| Credential | CRNP |
| Practice Address |
1025 W Harrisburg Pike Middletown PA 17057-4848 |
| Practice Telephone | 7179440491 |
| Practice Fax Number | 7179441436 |
| Mailing Telephone | 7178440491 |
| Mailing Fax Number | 7179441436 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017982 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1025 W HARRISBURG PIKE |
| City | MIDDLETOWN |
| State | PA |
| Zip Code | 17057-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381984 | Elizabeth A Wolff | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2005-07-29 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| 1851811251 | Meena Bhaskaruni | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2017-06-27 |
| 1568812568 | Tracee L Matincheck | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2016-06-21 |
| 1528460318 | Alison P Gillmen | Physician Assistant | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2014-09-23 |
| 1922373281 | Jenna Leigh Henault | Physician Assistant | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2012-03-19 |
| 1225356751 | Nichole V Barton | Internal Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057 | 2010-05-07 |
| 1366631210 | Shekiba Shahabzada | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2007-10-16 |
| 1417169541 | Viral P Patel | Family Medicine | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2007-05-03 |
| 1043250384 | Pinnacle Health Medical Services | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388105 | Jeffrey Giovino | Driver | 3265 Fulling Mill Road, Middletown, PA 17057 | 2016-10-27 |
| 1619330123 | David I Shatto Jr. | Pharmacist | 1581 Woodridge Drive, Middletown, PA 17057 | 2016-04-01 |
| 1528440344 | Alexis Rose Falcone | Occupational Therapist | 1020 N. Union Street, Middletown, PA 17057 | 2015-06-29 |
| 1477992329 | Melinda Ann Ramberger | Physical Therapy Assistant | 1020 North Union St, Middletown, PA 17057 | 2013-06-24 |
| 1700906963 | Londonderry Fire Company No.1 | Ambulance | 2655 Foxianna Road, Middletown, PA 17057 | 2007-03-30 |
| 1780711333 | Bruce S Bashline D.o. Inc. | Family Medicine | 1100 Spring Garden Drive, Middletown, PA 17057 | 2007-02-28 |
| 1619036142 | Ck Kc Inc | Pharmacy | 436 East Main Street, Middletown Pharmacy & Gift Shop, Middletown, PA 17057 | 2006-12-08 |
| 1518065242 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1565 Wharrisburg Pk, Middletown, PA 17057 | 2006-09-20 |
| 1235242512 | Andrew V Welkie | Dentist | 244 Adelia St, Middletown, PA 17057 | 2006-08-17 |
| 1790757094 | Gregory Albert Anoia Sr. | Optometrist | 120 West Water Street, Box 160, Middletown, PA 17057 | 2006-02-02 |
| Find all providers in zip 17057 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072344 | Shante Brady | Nurse Practitioner | 37 Ruth Ct, Middletown, NY 10940-5329 | 2020-10-30 |
| 1932710126 | Miesha Sarah Stokely | Nurse Practitioner | 10 Atwood Dr, Middletown, NY 10940-2539 | 2020-08-12 |
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1316563869 | Alexa Rae Steenbruggen | Nurse Practitioner | 8 Gossets Turn Dr, Middletown, RI 02842-7900 | 2020-06-21 |
| 1942832472 | Courtney Killin | Nurse Practitioner | 506 Gladys Dr, Middletown, OH 45044-4825 | 2020-02-12 |
| 1174085575 | Adenike Yetunde Awotundun | Nurse Practitioner | 1020 N Union St Apt 204, Middletown, PA 17057-2158 | 2019-04-03 |
| 1447722095 | Cheryl Roman | Nurse Practitioner | 15 Southview W, Middletown, NJ 07748-2416 | 2018-12-20 |
| 1083191076 | Johnita Hendricks | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 | 2018-07-23 |
| 1881146702 | Oluyemisi A Okudele | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709-7956 | 2016-10-26 |
| 1629523816 | Lavinda Mcauliffe | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2016-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 17057 |
Please comment or provide details below to improve the information on TRACEY BUTAY.
| 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.