TRACIE BLUE (NPI# 1447867205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447867205 |
| Entity Type | Individual |
| Full Name | TRACIE BLUE |
| Practice Address |
137 Commons Way Greenville SC 29611-3850 |
| Mailing Address |
Po Box 26534 Greenville SC 29616-1534 |
| Practice Telephone | 8649790846 |
| Mailing Telephone | 8645678976 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 44650 | SC | Nursing Service Providers |
| Street Address |
137 COMMONS WAY |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831573492 | Kheri Angel Corbin | Counselor | 137 Commons Way, Greenville, SC 29611-3850 | 2015-07-14 |
| 1457968208 | Porsche Williams | Registered Nurse | 137 Commons Way, Greenville, SC 29611-3850 | 2020-09-25 |
| 1144733122 | Adams Counseling Service, LLC | Marriage & Family Therapist | 137 Commons Way, Greenville, SC 29611-3850 | 2017-11-13 |
| 1184137754 | Riverstone Family Counseling, LLC | Counselor | 137 Commons Way, Greenville, SC 29611-3850 | 2017-11-06 |
| 1558880500 | Rayniece K. Young | Counselor | 137 Commons Way, Greenville, SC 29611-3850 | 2017-09-11 |
| 1114466562 | K.a. Counseling, LLC | Marriage & Family Therapist | 137 Commons Way, Greenville, SC 29611-3850 | 2017-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040659 | Jessica Lynn White | Licensed Practical Nurse | 187 Conneaut Lake Rd, Greenville, PA 16125-9430 | 2019-12-13 |
| 1730739202 | Jennifer Griffin | Licensed Practical Nurse | 1155 Main Dr, Greenville, OH 45331-3116 | 2019-09-17 |
| 1003473323 | Grace Elaine Hearn | Licensed Practical Nurse | 234 Oakwood St, Greenville, OH 45331-1331 | 2019-05-22 |
| 1235794512 | Katherine Anderson | Licensed Practical Nurse | 220 W Charles St, Greenville, MI 48838-1144 | 2019-05-02 |
| 1306239173 | Kimberley Stanford | Licensed Practical Nurse | 845 Ingram Cir N, Greenville, MS 38701-8048 | 2015-03-18 |
| 1316378623 | Jennifer Jean Swiger | Licensed Practical Nurse | 2970 Hamilton Rd, Greenville, OH 45331-9409 | 2013-12-12 |
| 1578909891 | Mary Elizabeth Pool | Licensed Practical Nurse | 941 Harrison Ave, Greenville, OH 45331-1107 | 2013-05-14 |
| 1962703926 | Deborah Cannon Lilley | Licensed Practical Nurse | 2043 Quail Ridge Rd Apt B, Greenville, NC 27858-5586 | 2010-11-08 |
| 1740599612 | Lynette Elizabeth Hellams | Licensed Practical Nurse | 225 Pinefield Dr, Greenville, SC 29605-3515 | 2010-09-27 |
| 1730319393 | Christine Inez Scott | Licensed Practical Nurse | 101 Ridgeside Ct, Greenville, SC 29617-1756 | 2009-07-16 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
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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.