MS. TRACY E MARTIN (NPI# 1508189176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508189176 |
| Entity Type | Individual |
| Full Name | MS. TRACY E MARTIN |
| Credential | M.S.ED., LCPC |
| Practice Address |
7700 N 2nd St Machesney Park IL 61115-2872 |
| Practice Telephone | 8152892211 |
| Mailing Telephone | 8152892211 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180006311 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528453404 | Tracy M Martin | Nurse Practitioner | 108 Calhoun St, Cincinnati, OH 45219-1527 | 2015-03-30 |
| 1275875270 | Tracy Robin Martin | Dentist | 7721 Fontaine St, Potomac, MD 20854-3304 | 2013-03-18 |
| 1811143902 | Tracy Elizabeth Martin | Specialist | 719 E 74th Ave, Anchorage, AK 99518-2828 | 2008-08-08 |
| 1053531855 | Tracy Lea Martin | Counselor | 109 S Harrill, Eri, Wagoner, OK 74467 | 2007-04-26 |
| 1538274246 | Tracy Nguyen Martin | Dentist | 5800 Bellaire Blvd Ste 110, Houston, TX 77081-5537 | 2006-08-20 |
| 1346847282 | Tracy Renee Martin | Case Manager/Care Coordinator | 1507 E Race Ave, Searcy, AR 72143-4661 | 2020-10-05 |
| 1841758315 | Tracy Lee Martin | Physical Therapist | 4233 Gateway Blvd Ste 201, Newburgh, IN 47630-8900 | 2019-03-04 |
| 1598234437 | Tracy Lynn Martin | Nurse Practitioner | 725 North St, Pittsfield, MA 01201-4109 | 2018-11-21 |
| 1942791769 | Tracy Martin | Student in an Organized Health Care Education/Training Program | 671 Hoes Ln W # D325, Piscataway, NJ 08854-8021 | 2018-05-29 |
| 1659725430 | Tracy Martin | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2016-04-19 |
| Street Address |
7700 N 2ND ST |
| City | MACHESNEY PARK |
| State | IL |
| Zip Code | 61115-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675087 | Mary B O'meara | Nurse Practitioner | 9721 N Alpine, Machesney Park, IL 61115 | 2019-02-14 |
| 1518486398 | Jordyn Morris | Speech-Language Pathologist | 710 Ralston Rd, Machesney Park, IL 61115 | 2017-09-13 |
| 1053713966 | Dental Professionals of Illinois, P.C. | Dentist | 1411 W Lane Rd Ste B, Machesney Park, IL 61115 | 2014-09-23 |
| 1922326271 | Mitalkumar K Patel | Dentist | 1363 W. Lane Road, Machesney Park, IL 61115 | 2010-05-12 |
| 1720134802 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1349 W Lane Rd, Machesney Park, IL 61115 | 2007-01-25 |
| 1710371471 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1770 W Lane Rd, Machesney, IL 61115 | 2015-03-20 |
| 1225436546 | Susan Lynn Sherbon | Community/Behavioral Health | 251 Brentwood Rd, Machesney Park, IL 61115-1064 | 2014-12-18 |
| 1174872519 | Dana Lynn Slabaugh | Physical Therapist | 10510 Ventura Blvd, Machesney Park, IL 61115-1263 | 2012-08-30 |
| 1073590204 | Terry Buzzard | Family Medicine | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2005-12-29 |
| 1609475672 | Meaghan Elizabeth Reed | Physician Assistant | 11475 N 2nd St, Machesney Park, IL 61115-1285 | 2020-10-21 |
| Find all providers in zip 61115 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902037682 | Tammy Lynn Frossard | Counselor | 4584 Meteor Ct, Machesney Park, IL 61115-2247 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | MACHESNEY PARK |
| Zip Code | 61115 |
Please comment or provide details below to improve the information on MS. TRACY E MARTIN.
| 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.