MRS. MICAH JADE TRACY (NPI# 1427392372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427392372 |
| Entity Type | Individual |
| Full Name | MRS. MICAH JADE TRACY |
| Credential | APRN |
| Practice Address |
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 |
| Practice Telephone | 2706511111 |
| Practice Fax Number | 2706595850 |
| Mailing Telephone | 2706511111 |
| Mailing Fax Number | 2706595850 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007779 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
310 N L ROGERS WELLS BLVD |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850134 | Michael A Saridakis | Surgery | 310 N L Rogers Wells Blvd, Suite 103, Glasgow, KY 42141-1300 | 2005-06-10 |
| 1851938807 | Lauren M Legrand | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-12-09 |
| 1366001885 | Ryan B Kerrins | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-06-08 |
| 1851864797 | Heather C Bull | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-01-03 |
| 1174043582 | Jessica Lauren Miller | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-27 |
| 1750819967 | Marissa Howard | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-01 |
| 1447783634 | Barbara G Kelly | Family Medicine | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-04-05 |
| 1245761030 | Laura Elizabeth Brooks | Pediatrics | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-03-23 |
| 1528511979 | Sydni Paige Burton | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-08-02 |
| 1568821304 | Megan L Buntin | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649529470 | Alysia Gayle Wheeler | Nurse Practitioner | 742 E Main St Ste B, Glasgow, KY 42141-2754 | 2012-09-07 |
| 1942581095 | Tonya Monique Bragg-underwood | Nurse Practitioner | 107 St Charles Ct, Glasgow, KY 42141-1440 | 2011-09-02 |
| 1043521289 | Britney M. Jackson | Nurse Practitioner | 1214b N Race St, Glasgow, KY 42141-3462 | 2010-06-22 |
| 1053640698 | Michael L Pendleton Sr. | Nurse Practitioner | 100 Reynolds Rd, Suite A, Glasgow, KY 42141-1177 | 2009-12-10 |
| 1679763049 | Kentucky Center for The Prevention of Heart Attack Stoke and Diabetes | Nurse Practitioner | 1214 N Race St, Suite B, Glasgow, KY 42141-3462 | 2007-07-31 |
| 1801909734 | Beth Lawhorne Cullen | Nurse Practitioner | 404 Anderson St, Glasgow, VA 24555-2802 | 2006-08-16 |
| 1528058286 | Michele Beebe | Nurse Practitioner | 630 2nd St. So., Ste. A, Glasgow, MT 59230-2600 | 2005-10-25 |
| 1295345940 | Kasey Danielle Lee | Nurse Practitioner | 411 S L Rogers Wells Blvd, Glasgow, KY 42141-1191 | 2020-08-07 |
| 1396305777 | Alexis N Sherfey | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3454 | 2019-06-18 |
| 1366001885 | Ryan B Kerrins | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-06-08 |
| Find all providers in GLASGOW | ||||
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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.