SANDI BETH TRACY (NPI# 1417460460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460460 |
| Entity Type | Individual |
| Full Name | SANDI BETH TRACY |
| Credential | RN |
| Practice Address |
10222 N Hayden Ct Mequon WI 53097-3624 |
| Practice Telephone | 2622420454 |
| Mailing Telephone | 2622420454 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
87825-30 | WI | Nursing Service Providers |
| Street Address |
10222 N HAYDEN CT |
| City | MEQUON |
| State | WI |
| Zip Code | 53097-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537071 | Jacqueline Albino | Registered Nurse | 1431 Johnson Ave, Racine, WI 53402-2549 | 2020-10-29 |
| 1457959348 | Courtney Elizabeth Schultz | Registered Nurse | 760 Lutheran St, Platteville, WI 53818-2218 | 2020-10-13 |
| 1760099162 | Andrea June Rohach | Registered Nurse | 3240 E Ryan Rd, Oak Creek, WI 53154-4740 | 2020-09-29 |
| 1205448222 | Dakota Ann Drolshagen | Registered Nurse | 1567 Falcon Dr, Hartford, WI 53027-2780 | 2020-08-20 |
| 1043858525 | Raquel Lynn Starke | Registered Nurse | 12232 N Ridge Trl, Hales Corners, WI 53130-2334 | 2019-12-16 |
| 1568011062 | Sarah R Ebert | Registered Nurse | W233n5850 Aster Dr, Sussex, WI 53089-3803 | 2019-09-06 |
| 1841752789 | Meghann White | Registered Nurse | 6406 River Bend Rd, Weston, WI 54476-1989 | 2019-04-01 |
| 1922575349 | Christine Bengtson | Registered Nurse | 9000 W Wisconsin Ave Ste B440, Wauwatosa, WI 53226-4874 | 2018-10-24 |
| 1023509684 | Tammy Lyn Olson | Registered Nurse | 6022 County Road P, Cross Plains, WI 53528-9736 | 2018-05-19 |
| 1205331154 | Lisa Michelle Scherrer | Registered Nurse | 1787 River Lakes Rd N, Oconomowoc, WI 53066-4867 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
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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.