TRACEY BEAZLEY (NPI# 1497376933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497376933 |
| Entity Type | Individual |
| Full Name | TRACEY BEAZLEY |
| Practice Address |
9846 Highway 31 E Tyler TX 75705-2329 |
| Practice Telephone | 9035253714 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Q00000X | Spec/Tech, Pathology | 16665 | KS | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9846 HIGHWAY 31 E |
| City | TYLER |
| State | TX |
| Zip Code | 75705-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937138 | Ashley Keeter | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-19 |
| 1679196885 | Casandra Bradley | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-21 |
| 1043832124 | Donna Penny | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-12 |
| 1417578352 | Tamekia Day | Registered Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-01 |
| 1366063281 | Carolyn Hampton | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-05-01 |
| 1366061756 | Jaclyn Wilson | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-04-15 |
| 1326675877 | Mariafe Pagne | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-25 |
| 1891322566 | Megan Kimmel | Occupational Therapist | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-24 |
| 1548896459 | Yetunde Dumbiri | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-23 |
| 1053946475 | Kylie Melillo | Occupational Therapy Assistant | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561010 | Susan Kemp | Occupational Therapist | 9846 State Hywy 31e, Tyler, TX 75705 | 2017-07-25 |
| 1629383849 | Melissa Hampton | Home Health Aide | 400 F M Road 757, Tyler, TX 75705 | 2010-08-12 |
| 1902026446 | Red Bird Manor LLC | Assisted Living Facility | 956 Fm Rd 757, Tyler, TX 75705 | 2007-04-26 |
| 1821079187 | Kinsman Enterprises, Inc. | Home Health | 3218 N 4th St, Longview, TX 75705 | 2005-11-12 |
| 1528538485 | Sophia Olewunne | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-12-04 |
| 1487138269 | Ericka Gordon | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-09-18 |
| 1831679430 | Kimberly Willhite | Home Health Aide | 9846 Hwy 31 E, Tyler, TX 75705 | 2018-08-14 |
| 1174866461 | Leslie L Isaacs | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2013-04-04 |
| 1235278813 | Bienville Holdings, Ltd | Home Health | 9846 State Highway 31 E, Tyler, TX 75705-2329 | 2007-02-06 |
| 1285235838 | Brenda Duong | Occupational Therapist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-11-02 |
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| Taxonomy Code | 246Q00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619917481 | East Texas Medical Center Healthcare Associates | Spec/Tech, Pathology | 904 S Beckham Ave, Tyler, TX 75701-1906 | 2006-06-08 |
| 1255943692 | Madison Mitford | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-08-18 |
| 1750992020 | Kaitlyn Godsave | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-08-11 |
| 1811534464 | Sadia Qureshi | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-03 |
| 1053972174 | Courtney Anderson | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-06-28 |
| 1952962177 | Marianne Deshaies | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-06-27 |
| 1801352208 | Ashlyn Jacinto | Spec/Tech, Pathology | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979890 | Caitlin Callais | Spec/Tech, Pathology | 12708 Riata Vista Circle A106, Austin, TX 78727-7174 | 2020-07-13 |
| 1598249401 | Shibi Philip | Spec/Tech, Pathology | 2625 Ash Crk, Mesquite, TX 75181-4210 | 2018-09-18 |
| 1457854937 | Victoria Nguyen | Spec/Tech, Pathology | 1201 N Watson Rd Ste 220, Arlington, TX 76006-6120 | 2018-03-12 |
| 1235370362 | Justina Obiamaka Ene | Spec/Tech, Pathology | 2904 Creekside Ct, Carrollton, TX 75007-5047 | 2009-03-19 |
| 1760482665 | Abilene Diagnostic Clinic, Pllc | Spec/Tech, Pathology | 1665 Antilley Rd Ste 190, Abilene, TX 79606-5249 | 2005-07-21 |
| 1952925620 | Katherine E Connelly | Spec/Tech, Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-05-29 |
| 1144864026 | Jillian Davis | Spec/Tech, Pathology | 2620 W Walker St, League City, TX 77573-6812 | 2019-11-04 |
| 1922440346 | Erin Kaleta | Spec/Tech, Pathology | 6565 Fannin St, Mail Stop 205, Houston, TX 77030-2703 | 2013-07-26 |
| 1518260819 | Joseph H. Trotter | Spec/Tech, Pathology | 18484 Preston Rd, Dallas, TX 75252-5400 | 2010-12-09 |
| 1306002092 | Ping Wang | Spec/Tech, Pathology | 6565 Fannin St, Ms205, Houston, TX 77030-2703 | 2008-08-01 |
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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.