TRACEY OLIVER (NPI# 1376921239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376921239 |
Entity Type | Individual |
Full Name | TRACEY OLIVER |
Credential | NURSE PRACTITIONER |
Practice Address |
3750 E Country Field Cir Suite D Wasilla AK 99654-6659 |
Practice Telephone | 9073576121 |
Mailing Telephone | 9073576121 |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1539 | AK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144857533 | Tracey Marie Oliver | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-25 |
Street Address |
3750 E COUNTRY FIELD CIR SUITE D |
City | WASILLA |
State | AK |
Zip Code | 99654-6659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811942741 | Megan Ciana | Physical Therapist | 3750 E Country Field Cir, Wasilla, AK 99654-6689 | 2006-05-22 |
1316396302 | Kelani Shaner | Specialist | 3750 E Country Field Cir, Wasilla, AK 99654-6659 | 2016-06-09 |
1841405883 | Carole Suzanne Ruegsegger | Internal Medicine | 3750 E Country Field Cir, Unit B, Wasilla, AK 99654-6689 | 2007-05-12 |
1700907367 | Alice Jean Holinger | Physical Therapist | 3750 E Country Field Cir, #a, Wasilla, AK 99654-6689 | 2007-04-02 |
1275663577 | Glenn L Brown | Physical Therapist | 3750 E Country Field Cir, Unit A, Wasilla, AK 99654-6689 | 2007-03-06 |
1467523779 | Pan Alaska Physical Therapy, Inc. | Physical Therapist | 3750 E Country Field Cir, Suite A, Wasilla, AK 99654-6689 | 2006-11-10 |
1992898951 | Garrick Dick Herr | Physical Therapist | 3750 E Country Field Cir, Wasilla, AK 99654-6689 | 2006-10-02 |
1710915590 | Shawn Daniel Butler | Physical Therapist | 3750 E Country Field Cir, Unit A, Wasilla, AK 99654-6689 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
Find all providers in zip 99654 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568893543 | Jennifer Hoadley | Nurse Practitioner | 445 W 9th Ave, Anchorage, AK 99501-3519 | 2013-12-02 |
1669496709 | Anita B Powell | Nurse Practitioner | 3260 Providence Dr Ste 322, Anchorage, AK 99508 | 2006-07-26 |
1740661677 | Erin Elizabeth Keiper | Nurse Practitioner | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2015-06-16 |
1023396157 | Kelly Kay Binkowski | Nurse Practitioner | 1626 30th Ave, Fairbanks, AK 99701-7423 | 2011-07-22 |
1366596512 | Jane A Sublette | Nurse Practitioner | 1060 Gaffney Rd Ste 7440, Commander Usa Meddac Ak Mcuc Mmd Attn Credentials, Ft Wainwright, AK 99703-7440 | 2007-01-23 |
1932263043 | Marta G Poore | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-12-21 |
1356417174 | Christine Gundel | Nurse Practitioner | 3260 Providence Dr Ste 425, Anchorage, AK 99508-4603 | 2006-11-24 |
1831128453 | Linda M Duce | Nurse Practitioner | 35670 Kenai Spur Hwy, Suite 101a, Soldotna, AK 99669-7626 | 2006-07-03 |
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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.