TRACY DAVIS (NPI# 1548662497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548662497 |
| Entity Type | Individual |
| Full Name | TRACY DAVIS |
| Credential | MSN, RN, AGACNP-BC |
| Practice Address |
4000 22nd Pl Ste 100 Lubbock TX 79410-1120 |
| Mailing Address |
Po Box 1030 Childress TX 79201-1030 |
| Practice Telephone | 8067257070 |
| Practice Fax Number | 8067257071 |
| Mailing Telephone | 9409376371 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
706101 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018420 | Tracy Ann Davis | Personal Emergency Response Attendant | 19389 Hoover St, Detroit, MI 48205-2136 | 2019-11-26 |
| 1083155766 | Tracy Ann Davis | Registered Nurse | 2333 N Thomas Rd, Saginaw, MI 48609-9324 | 2017-03-15 |
| 1962804344 | Tracy Rose Davis | Dietitian, Registered | 627 N Palimino Dr, Port Aransas, TX 78373-6000 | 2014-09-17 |
| 1437568326 | Tracy D Davis | Counselor | 570-h Ritchie Hwy, Severna Park, MD 21146 | 2014-08-05 |
| 1306255435 | Tracy Davis | Counselor | 638 E 3470 S, St George, UT 84790-6246 | 2014-08-02 |
| 1033451935 | Tracy Ju'don Davis | Counselor | 2236 Nw 113th Pl, Oklahoma City, OK 73120-7609 | 2013-03-19 |
| 1649472044 | Tracy D. Davis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 314 Old Spring Ln, Houston, TX 77015-2044 | 2007-06-05 |
| 1447287362 | Tracy Lynn Davis | Pathology | 2495 N Desert Links Dr Apt 85, Tucson, AZ 85715-3736 | 2006-06-27 |
| 1598304453 | Tracy R Davis | Counselor | 707 Gum Rock Ct, Newport News, VA 23606-2523 | 2019-12-24 |
| 1609418177 | Tracy N Davis | Behavior Technician | 800 Oak St, Farmville, VA 23901-1199 | 2019-10-16 |
| Street Address |
4000 22ND PL STE 100 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631227 | Nicholas Glenn Thrash | Nurse Practitioner | 3420 Milwaukee Ave Apt 733, Lubbock, TX 79407-3839 | 2019-10-18 |
| 1679070882 | Anitra Trinette Buckley | Nurse Practitioner | 3615 19th St Ste 162, Lubbock, TX 79410-1203 | 2018-04-12 |
| 1619270659 | Julia C Beaver | Nurse Practitioner | 3506 21st St Ste 507, Lubbock, TX 79410-1233 | 2010-12-14 |
| 1457965360 | Frances Greg Y Bordon | Nurse Practitioner | 3621 22nd St, Lubbock, TX 79410-1301 | 2020-09-08 |
| 1396359618 | David Tweed | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2020-09-03 |
| 1346882974 | Rachael Marie Polak | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1457993016 | Austin J Lawrence | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1043795347 | Brian Richard Honekamp | Nurse Practitioner | 3506 21st St Ste 602, Lubbock, TX 79410-1234 | 2018-10-02 |
| 1851842421 | Mandy Vanstory | Nurse Practitioner | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2016-10-19 |
| 1083165906 | Teshara Perez | Nurse Practitioner | 4316 23rd St, Lubbock, TX 79410 | 2016-10-14 |
| Find all providers in LUBBOCK | ||||
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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.