TRACY WICKERSHAM-FREY (NPI# 1447653456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447653456 |
| Entity Type | Individual |
| Full Name | TRACY WICKERSHAM-FREY |
| Credential | PA-C |
| Practice Address |
1121 Washington Blvd Newcastle WY 82701-2968 |
| Practice Telephone | 3077463582 |
| Mailing Telephone | 3077463582 |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1121 WASHINGTON BLVD |
| City | NEWCASTLE |
| State | WY |
| Zip Code | 82701-2968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508941790 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1121 Washington Blvd, Suite 2, Newcastle, WY 82701-2968 | 2006-10-26 |
| 1982244109 | Jessica Whitney | Nurse Practitioner | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2020-01-15 |
| 1659750578 | Monument Health Network, Inc. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2015-05-26 |
| 1417336637 | Monument Health Network, Inc. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2015-05-20 |
| 1508290248 | Regional Health Physicians, Inc. | Family Medicine | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2013-08-29 |
| 1164855813 | Regional Health Physicians, Inc. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2013-08-16 |
| 1407067408 | Dawn Marie Gates | Registered Nurse | 1121 Washington Blvd, Weston County Health Service, Newcastle, WY 82701 | 2007-05-24 |
| 1700900719 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 1121 Washington Blvd, Newcastle, WY 82701-2968 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164812475 | Weston County Pharmacy | Pharmacist | 727a Washington Blvd, Newcastle, WY 82701 | 2015-01-26 |
| 1326385394 | Candice Marie Watt | Counselor | 420 Deanne Avenue, Newcastle, WY 82701 | 2013-01-11 |
| 1619288503 | Zelda M Anderson | Case Manager/Care Coordinator | 466 Oil Creek Road, Newcastle, WY 82701 | 2010-06-25 |
| 1265769772 | Sharon Adean Materi | Case Manager/Care Coordinator | 23038 U.S. Highway 85, Newcastle, WY 82701 | 2009-11-05 |
| 1740424332 | Monte William Straley | Pharmacist | 727 A Washington Blvd, Newcastle, WY 82701 | 2009-04-27 |
| 1669539235 | Weston County Hospital District | Case Management | 725 Washington Blvd, Newcastle, WY 82701 | 2007-01-03 |
| 1154402972 | Weston County Hospital District | Emergency Medicine | 1124 Washington Boulevard, Newcastle, WY 82701 | 2006-10-18 |
| 1841381514 | Newcastle Ambulance Service | Ambulance | 7 W Wenworth, Newcastle, WY 82701 | 2006-09-27 |
| 1750362588 | Michael Lee Carpenter | Physician Assistant | 1121 Washington Ave, Newcastle, WY 82701 | 2005-11-09 |
| 1770887184 | Abi Jo Dysart | Chiropractor | 128 W Main St, Ste G, Newcastle, WY 82701 | 2010-12-28 |
| Find all providers in zip 82701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497702161 | Public Hospital District #1 of King County | Physician Assistant | 7203 129th Ave Se, Suite 100, Newcastle, WA 98056-1412 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| 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.