MS. TRACY LEE EDWARDS (NPI# 1568753127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568753127 |
| Entity Type | Individual |
| Full Name | MS. TRACY LEE EDWARDS |
| Credential | PMHNP |
| Practice Address |
220 W Colfax Ave Ste 400 South Bend IN 46601-1635 |
| Practice Telephone | 5745461900 |
| Mailing Telephone | 5745461900 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71007338A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
607986 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Bldg 2489 Ricker Road, Cbhs-fort Bliss, El Paso, TX 79916 | 9155684781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457711756 | Tracy Edwards | Midwife | 316 S 2nd Ave, Elmendorf, TX 78112-5543 | 2016-02-29 |
| 1649559170 | Tracy D Edwards | Pharmacist | 105365 S Highway 102 Bldg M, Mcloud, OK 74851-3051 | 2011-08-15 |
| 1952541757 | Tracy Lorraine Edwards | Registered Nurse | 8325 N Teutonia Ave, Milwaukee, WI 53209-1558 | 2009-03-06 |
| 1124103494 | Tracy Michelle Edwards | Dentist | 3320 S Church St, Correct Time Plaza, Burlington, NC 27215-9150 | 2006-10-26 |
| 1609805704 | Tracy Joy Edwards | Internal Medicine | 4200 Connecticut Ave Nw Bldg 44, Washington, DC 20008-1122 | 2006-07-01 |
| 1013979855 | Tracy L Edwards | Family Medicine | 129 South Main St, Suite A, Hiawassee, GA 30546 | 2006-04-05 |
| 1629627351 | Tracy Edwards | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2019-09-05 |
| 1811431976 | Tracy Edwards | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2016-12-08 |
| 1073066718 | Tracy Edwards | Counselor | 737 S Lewis St, Metter, GA 30439-5128 | 2016-07-29 |
| 1245663665 | Tracy Lea Edwards | Nurse Practitioner | 211 Cool Springs Blvd, Franklin, TN 37067-7242 | 2013-08-21 |
| Street Address |
220 W COLFAX AVE STE 400 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861040693 | Jennifer Leigh Huff | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2019-08-26 |
| 1932768777 | Max Allen Schut | Social Worker | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2019-06-06 |
| 1548726557 | Amy Quick | Social Worker | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2019-02-14 |
| 1740750918 | Lauma Brau | Social Worker | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-11-30 |
| 1720558901 | Eileen Velasquez Walters | Social Worker | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-11-29 |
| 1629546841 | Tammy Rena Hempstead | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-11-06 |
| 1841768322 | Darrin Clutteur | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-11-02 |
| 1104306620 | Constance R Bullock | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-08-14 |
| 1457830465 | Chelsea Driscoll | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-08-09 |
| 1124506357 | Janelle Elizabeth Vest | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698081 | Sarah E Geyer | Nurse Practitioner | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2020-01-23 |
| 1124506357 | Janelle Elizabeth Vest | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2018-07-31 |
| 1730698267 | Jennifer Jean Loop-miller | Nurse Practitioner | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2017-09-27 |
| 1336507094 | Azubike Nwokedi | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-02-09 |
| 1154735140 | Michael Workman | Nurse Practitioner | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2014-06-17 |
| 1801913728 | Coleen Louise Heckner | Nurse Practitioner | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2007-03-24 |
| 1679548499 | Billie Rae Federspiel | Nurse Practitioner | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
| 1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
| 1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MS. TRACY LEE EDWARDS.
| 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.