MRS. TRACY KILLIAN (NPI# 1477903284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477903284 |
| Entity Type | Individual |
| Full Name | MRS. TRACY KILLIAN |
| Credential | NP-C |
| Practice Address |
2893 Veterans Memorial Pkwy Saint Charles MO 63303-3526 |
| Mailing Address |
2666 Babble Creek Ln O Fallon MO 63368-8334 |
| Practice Telephone | 6363361401 |
| Mailing Telephone | 6363790209 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
145843 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760663967 | Tracy Jeanne Killian | Pharmacist | 119 Parshall Rd, Cooperstown, NY 13326-2525 | 2007-11-16 |
| 1447459144 | Tracy Alice Killian | Pharmacist | 2011 Bullard Rd, Powder Springs, GA 30127-1248 | 2007-07-12 |
| 1144654542 | Tracy Killian | Speech-Language Pathologist | 1958 Elm St, Denver, CO 80220-1247 | 2013-08-21 |
| Street Address |
2893 VETERANS MEMORIAL PKWY |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063839504 | Michael Kevin Lemp | Nurse Practitioner | 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2014-03-21 |
| 1760959720 | Our Urgent Care, LLC | Clinic/Center | 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2018-10-29 |
| 1477030161 | Amy Louise Wilson | Nurse Practitioner | 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2018-07-25 |
| 1598256109 | Christy Ann Schulte | Nurse Practitioner | 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2018-05-21 |
| 1295247591 | Jessica Lee Lester | Nurse Practitioner | 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303-3526 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424965 | Kathe Ann Russo | Nurse Practitioner | 2929 Westborough Dr, Saint Charles, MO 63301-4546 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
Please comment or provide details below to improve the information on MRS. TRACY KILLIAN.
| 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.