TRACY E MULLINS


Address: 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675
Phone: 2604366667

TRACY E MULLINS (NPI# 1417908526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417908526
Entity Type Individual
Full Name TRACY E MULLINS
Other Name TRACY E RITCHIE
Credential NP
Practice Address 2512 E Dupont Rd
Suite 100
Fort Wayne
IN 46825-1675
Mailing Address 3702 New Vision Dr
Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2604366667
Practice Fax Number 2604697437
Mailing Telephone 2609691950
Mailing Fax Number 2609182137
Enumeration Date 2006-05-13
Last Update Date 2020-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71002116A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200821790 05
OH 2734376 05
IN ANTHEM BC/BS 000000530707 01

Other Providers TRACY MULLINS

NPI Name Taxonomy Address Enumeration
1760726152 Tracy Mullins Physical Therapy Assistant 303 N Hurstbourne Parkeway, Suite 200, Lousiville, KY 40222 2012-11-26
1285656702 Tracy Anne Mullins Speech-Language Pathologist 5409 Douglas Firr Ct, Cincinnati, OH 45247-7445 2006-07-24
1396164257 Tracy M Mullins Physical Therapy Assistant 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 2014-04-08
1306104401 Tracy Mullins Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2012-04-26
1225121429 Tracy Mullins Occupational Therapist 9047 Executive Park Dr, Suite 115, Knoxville, TN 37923-4605 2006-10-02
1396797130 Tracy Mullins Physical Therapist 2412 W Andrew Johnson Hwy, Morristown, TN 37814-3276 2006-05-17

Office Location

Street Address 2512 E DUPONT RD
SUITE 100
City FORT WAYNE
State IN
Zip Code 46825-1675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795852 Mark Daniel Dabagia Urology 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 2005-07-29
1790021814 Dawn M. Labarbera Physician Assistant 2512 E Dupont Rd, Suite 210, Fort Wayne, IN 46825-1609 2012-12-18
1851640155 Sarah E Slocum Registered Nurse 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 2012-08-31
1871808923 Fort Wayne Orthopaedics, LLC Orthopaedic Surgery 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 2010-08-13
1477864239 Sarah Anne Brady Nurse Practitioner 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 2010-06-27
1275770802 Sara L Speith Registered Nurse 2512 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 2009-01-20
1972638955 Northeast Indiana Urology, P.C. Durable Medical Equipment & Medical Supplies 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 2007-02-22
1841222452 George L Martin Urology 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 2006-07-06
1619920295 Northeast Indiana Urology, PC Urology 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 2006-05-18
1356300198 Terri Ann Cordes Physician Assistant 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 2006-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394599 Laury Farrell Nurse Practitioner 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 2020-10-22
1730787599 Crystal Neal Nurse Practitioner 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 2020-10-14
1225668312 Kathleen Vanderreyden Nurse Practitioner 3005 E State Blvd, Fort Wayne, IN 46805-4736 2020-01-17
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1275980690 April Anderson Nurse Practitioner 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2016-05-16
1922470970 Jennifer Carol Littke Nurse Practitioner 6326 Constitution Dr, Fort Wayne, IN 46804-1518 2015-10-28
1275956054 Andrea N Lahrman Nurse Practitioner 11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845-1707 2014-01-29
1417213729 Laura Beth Baker Nurse Practitioner 5750 Falls Drive, Fort Wayne, IN 46804-7147 2012-04-11
1447572441 Kathryn L Smith Nurse Practitioner 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 2010-02-18
1316180144 Braden M Butterfield Mckinley Nurse Practitioner 2101 E Coliseum Blvd Rm 234, Fort Wayne, IN 46805-1445 2009-04-09
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Competitor

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City FORT WAYNE
Zip Code 46825

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Dataset Information

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.

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