DR. TRACY ANN ROBERTS (NPI# 1396369138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396369138 |
| Entity Type | Individual |
| Full Name | DR. TRACY ANN ROBERTS |
| Credential | NP-C |
| Practice Address |
3639 S Arno Ave Meridian ID 83642-1396 |
| Practice Telephone | 2084075869 |
| Mailing Telephone | 2084075869 |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
65132 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
51644 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174135594 | Tracy Dawn Roberts | Technician | 2158 Fisher Ridge Rd, Kenna, WV 25248-9625 | 2020-08-18 |
| 1952610057 | Tracy K Roberts | Speech-Language Pathologist | 7724 Patterson Ln, Pennsauken, NJ 08109-5607 | 2010-10-07 |
| 1689907651 | Tracy Lynn Roberts | Respiratory Therapist, Registered | 1150 John Sharp Rd, Spring Hill, TN 37174-2594 | 2009-09-09 |
| 1841472941 | Tracy Roberts | Speech-Language Pathologist | 756 Waterland Ct, Orlando, FL 32828-8116 | 2007-11-29 |
| 1972114866 | Tracy Rae Roberts | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-08-13 |
| 1396384301 | Tracy Metully Roberts | Nurse Practitioner | 16 Railway Ave, Three Forks, MT 59752-9080 | 2019-12-23 |
| 1588112916 | Tracy Rulaine Roberts | Counselor | 50 2nd St W, Suite 4, Whitefish, MT 59937-3064 | 2016-09-14 |
| 1578928768 | Tracy Anne Roberts | Physical Therapy Assistant | 1010 Longview Rd, Missouri Valley, IA 51555-1227 | 2015-12-15 |
| 1912224973 | Tracy Roberts | Marriage & Family Therapist | 9319 Taylorsville Rd, Louisville, KY 40299-1737 | 2010-04-29 |
| 1679755532 | Tracy Roberts | Counselor | 1526 Walden Ave, Cheektowaga, NY 14225-4965 | 2007-12-03 |
| Street Address |
3639 S ARNO AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| 1831755271 | Shannon Christina Jares | Nurse Practitioner | 1672 S Woodsage Ave Ste 120, Meridian, ID 83642-8332 | 2019-05-10 |
| Find all providers in MERIDIAN | ||||
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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.