TRACY T ALJABI (NPI# 1568092013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568092013 |
| Entity Type | Individual |
| Full Name | TRACY T ALJABI |
| Credential | FNP |
| Practice Address |
648 Crestwood Dr. Covington LA 70433 |
| Mailing Address |
13 Shadowwood Dr Carriere MS 39426-8176 |
| Practice Telephone | 5042280372 |
| Mailing Telephone | 5042280372 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
211863 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903794 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE | 211863 | 01 |
| LA | DEA | MA5774030 | 01 |
| LA | STATE NARCOTICS LICENSE | 056763 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 433 Plaza St Ste 3a, Bogalusa, LA 704273729 | 9857306970 | 9857307269 |
| Street Address |
648 CRESTWOOD DR. |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040677 | Meredith Katelyn Kanet | Nurse Practitioner | 704 N High St, Covington, OH 45318-1420 | 2020-10-09 |
| 1144834284 | Yvona Butts | Nurse Practitioner | 2963 Fairview Rd, Covington, GA 30016-1125 | 2020-09-05 |
| 1417561002 | Tabria Colston | Nurse Practitioner | 9190 Gallitin Dr Sw, Covington, GA 30014-3034 | 2020-09-01 |
| 1336758622 | Amanda C Rembert | Nurse Practitioner | 2131 Stallings St Nw Unit 585, Covington, GA 30015-2420 | 2020-07-23 |
| 1063020428 | Melanie Marie Cox | Nurse Practitioner | 3792 Kraddle Creek Dr, Covington, GA 30014-7700 | 2020-07-21 |
| 1902437270 | Tina Duncan | Nurse Practitioner | 19405 Helenbirg Rd, Covington, LA 70433-5197 | 2020-01-27 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1942861018 | Trina C Guzan | Nurse Practitioner | 13130 Highway 1085 Ste 100, Covington, LA 70433-6835 | 2019-06-27 |
| 1255894523 | Stephanie Salathe Knapps | Nurse Practitioner | 19262 Township Rd, Covington, LA 70435-9243 | 2019-04-12 |
| 1548721707 | Kimberly Amedee | Nurse Practitioner | 310 Homestead Way, Covington, GA 30014-8299 | 2019-03-28 |
| Find all providers in COVINGTON | ||||
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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.