TRACY BARTLEY (NPI# 1346896107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346896107 |
| Entity Type | Individual |
| Full Name | TRACY BARTLEY |
| Practice Address |
1910 Shaffer St Kalamazoo MI 49048-1604 |
| Mailing Address |
5741 Arbutus St Kalamazoo MI 49009-9533 |
| Practice Telephone | 8442068738 |
| Mailing Telephone | 2699930894 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704328255 | MI | Nursing Service Providers |
| Street Address |
1910 SHAFFER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962863001 | Julie A French | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2016-03-17 |
| 1679180707 | Jasmine Granville | Social Worker | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-23 |
| 1508471483 | Sarah Ann-mcconnell Wirth | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-09 |
| 1295344794 | Gabriell Bailey-humphrey | Nurse's Aide | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-07-30 |
| 1730703182 | Cristina Marie Goetz | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-06-02 |
| 1992328371 | Paula Lynn Hill | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-05-20 |
| 1346887312 | Suzanne Kay Lahti | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-12-09 |
| 1780227785 | Karen Schieman | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-22 |
| 1760023790 | Dallas Shafer | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-01 |
| 1023669322 | Lauren Whitehurst | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992328371 | Paula Lynn Hill | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-05-20 |
| 1346887312 | Suzanne Kay Lahti | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-12-09 |
| 1780227785 | Karen Schieman | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-22 |
| 1306498936 | Emily Lin-butterfield Fairbanks | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-07-13 |
| 1538629563 | Michelle Loraine Hindbaugh | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
| 1023498409 | Kelli Markarian | Registered Nurse | 9101 William St, Taylor, MI 48180-2822 | 2015-06-01 |
| 1881072395 | Gregory Pula | Registered Nurse | 706 Pemberton Ln, Jackson, MI 49203-7127 | 2015-05-16 |
| 1215377304 | Carol Ann Mcneil | Registered Nurse | 2800 Ore Valley Dr, Hartland, MI 48353-2810 | 2013-07-03 |
| 1336321215 | Sandra Marion Stetz | Registered Nurse | 3483 Clintonville Rd, Waterford, MI 48329-2227 | 2007-12-03 |
| 1902088016 | Pam Nemer | Registered Nurse | 7177 Magnolia Ln, Waterford, MI 48327-4421 | 2007-11-30 |
| 1760089148 | Ambor Lynn Sanders | Registered Nurse | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2020-10-08 |
| 1932715778 | Carole A Stacy | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-17 |
| 1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
| 1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
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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.