TRACI HARP ELLISON (NPI# 1396986360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396986360 |
| Entity Type | Individual |
| Full Name | TRACI HARP ELLISON |
| Credential | PA-C |
| Practice Address |
1201 Leopard St Fl 6 Corpus Christi TX 78401-2120 |
| Mailing Address |
4211 Monarch Way Ste 100 Norfolk VA 23508-2540 |
| Practice Telephone | 3618263333 |
| Practice Fax Number | 3618263334 |
| Mailing Telephone | 7577381400 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08123 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110002964 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 LEOPARD ST FL 6 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78401-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073964094 | Karen Spencer | Nurse Practitioner | 1201 Leopard St Fl 6, Corpus Christi, TX 78401 | 2016-06-30 |
| 1699019026 | Kristine Luna | Clinical Nurse Specialist | 1201 Leopard St Fl 6, Corpus Christi, TX 78401-2120 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003340639 | Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC | Rehabilitation Hospital | 345 S. Water St., Corpus Christi, TX 78401 | 2017-04-20 |
| 1578873287 | Ultima Medical Supply LLC | Contractor | 1231 Agnes St Ste A2, Corpus Christi, TX 78401 | 2010-10-15 |
| 1043541303 | Enrique Cisneros Ramos Jr. | Internal Medicine | 345 S Water St, Corpus Christi, TX 78401 | 2010-01-26 |
| 1417182924 | Kenpan Hu | Dentist | 4817 San Dario Avenue, Laredo, TX 78401 | 2009-05-28 |
| 1649321928 | Lighthouse Hospice-coastal Bend, LLC | Hospice Care, Community Based | 210 S Carancahua St Ste 200, Corpus Christi, TX 78401 | 2007-01-15 |
| 1649333774 | Baby Monitors Inc | Durable Medical Equipment & Medical Supplies | 711 N Carancahua St, Ste 512, Corpus Christi, TX 78401 | 2006-12-19 |
| 1184799322 | David Hirschman | Psychologist | 719 S Shoreline Blvd, Ste 400, Corpus Christi, TX 78401 | 2006-11-22 |
| 1487141909 | Rebecca Garcia | Specialist/Technologist | 800 N Shoreline Blvd Ste 700s, Corpus Christi, TX 78401 | 2018-04-19 |
| 1376930628 | Winlock Medical Surgical LLC | Physical Medicine & Rehabilitation | 1231 Agnes, Suite A-1, Corpus Christi, TX 78401 | 2015-04-23 |
| 1457748071 | Doctors On Call of Texas | Clinic/Center | 500 N Water St Ste 515, Corpus Christi, TX 78401-0213 | 2015-04-21 |
| Find all providers in zip 78401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629104 | Alejandro Castro Jr. | Physician Assistant | 6122 Kostoryz Rd, Corpus Christi, TX 78415-2440 | 2020-04-29 |
| 1518471564 | Astute Assistants, Pllc | Physician Assistant | 2732 S Padre Island Dr # 211, Corpus Christi, TX 78415-1808 | 2017-11-29 |
| 1467996785 | Marc Stearman | Physician Assistant | 15325 Bonasse Ct, #g, Corpus Christi, TX 78418-6977 | 2016-12-05 |
| 1982977088 | Cesar Omar Munoz | Physician Assistant | 613 Elizabeth St Ste 804, Corpus Christi, TX 78404-2231 | 2012-02-21 |
| 1528223658 | Kimberly A Petrila | Physician Assistant | 5920 Saratoga Blvd Ste 600a, Corpus Christi, TX 78414-4119 | 2008-07-29 |
| 1194904789 | Suzanne White | Physician Assistant | 6014 Strasbourg Dr, Corpus Christi, TX 78414-6254 | 2007-10-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1881782860 | Suzan Renee Salter | Physician Assistant | 7121 S. Padre Island Dr Ste 300, Thomas Span Clinic, Corpus Christi, TX 78912 | 2006-10-11 |
| 1205898053 | Kristi Thulin | Physician Assistant | 5734 Spohn Dr, Corpus Christi, TX 78414-4116 | 2006-04-06 |
| 1033103841 | Anthony John Herd | Physician Assistant | 9929 S Padre Island Dr Ste 109, Corpus Christi, TX 78418-5148 | 2005-09-07 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78401 |
Please comment or provide details below to improve the information on TRACI HARP ELLISON.
| 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.