TRACY NICOLE WILCOX (NPI# 1275665283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275665283 |
Entity Type | Individual |
Full Name | TRACY NICOLE WILCOX |
Credential | PTA, LAT, ATC |
Practice Address |
14564 Harewood Ct Jacksonville FL 32258-1718 |
Practice Telephone | 9043079514 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2018-06-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PTA23153 | FL | Allopathic & Osteopathic Physicians |
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 2689 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
14564 HAREWOOD CT |
City | JACKSONVILLE |
State | FL |
Zip Code | 32258-1718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
Find all providers in zip 32258 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
1730717091 | Bryan M Langan | Specialist/Technologist | 8 Sunnydale Ave, Jacksonville, IL 62650-2656 | 2020-03-31 |
1184257065 | Tory Ann Cooper | Specialist/Technologist | 8136 Pine Springs Ln, Jacksonville, FL 32244-7445 | 2020-02-19 |
1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
1194360008 | Shaylee Jade Fouts | Specialist/Technologist | 1210 Corinth Rd, Jacksonville, TX 75766-3208 | 2019-11-14 |
1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
1639733975 | Logen Izzak Hirn | Specialist/Technologist | 141 Lakewood Dr, Jacksonville, NC 28546-4633 | 2019-04-23 |
1568924348 | Thomas Bradley Vickers | Specialist/Technologist | 11911 Cornelius St, Jacksonville, FL 32246-4004 | 2019-04-02 |
1063971729 | Leonardo Sierra | Specialist/Technologist | 11057 Stutz Ct, Jacksonville, FL 32246-1401 | 2019-03-13 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32258 |
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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.