TRACY A PALMER (NPI# 1578129987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578129987 |
| Entity Type | Individual |
| Full Name | TRACY A PALMER |
| Credential | APRN |
| Practice Address |
1700 Henry Luckow Ln Belvidere IL 61008-1702 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796968650 |
| Practice Fax Number | 8155444691 |
| Mailing Telephone | 7796967150 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041271286 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019441 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952551210 | Tracy Lynn Palmer | Specialist | 20061 S Rittenhouse Rd, Queen Creek, AZ 85242-9715 | 2008-09-23 |
| 1669968335 | Tracy Palmer | Nurse Practitioner | 1120 Medical Plaza Dr, Shenandoah, TX 77380-3242 | 2018-07-06 |
| 1598259483 | Tracy D Palmer | Technician | 1140 N Capitol St Nw, Washington, DC 20002-7583 | 2018-06-14 |
| 1215313077 | Tracy Palmer | Psychologist | 7230 Heritage Village Plz, Suite 202, Gainesville, VA 20155-3053 | 2015-08-04 |
| Street Address |
1700 HENRY LUCKOW LN |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1184151177 | Anne T Cunningham | Registered Nurse | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2017-05-22 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| 1104259894 | Erica J Hoyer | Registered Nurse | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2013-08-16 |
| 1043554918 | Diana E Schultz | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2012-11-16 |
| 1528374196 | Michael David Corcoran | Podiatrist | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2010-08-20 |
| 1104146539 | Andrea Nicole Giamalva | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2010-06-08 |
| 1093950941 | Amanda Jo Bush | Obstetrics & Gynecology | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-12-06 |
| 1619125317 | Cassandra Lopez | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-09-05 |
| 1427210319 | Neal Kellenberger | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1447480033 | Swedishamerican Hospital | Internal Medicine | 1625 S State St, Belvidere, IL 61008 | 2009-07-17 |
| 1225200579 | Elaine Carlson Drake | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2008-03-27 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598251936 | Samantha Chmiel-towle | Nurse Practitioner | 187 County Road 519 Ste 1, Belvidere, NJ 07823-1900 | 2018-07-09 |
| 1114435484 | Shannon Marie Johnson | Nurse Practitioner | 120 Horton Ln, Belvidere, TN 37306-2109 | 2018-01-19 |
| 1033666920 | Julie Bredlau | Nurse Practitioner | 912 Kishwaukee St, Belvidere, IL 61008-2206 | 2016-09-08 |
| 1083829196 | Maria Eustice | Nurse Practitioner | 187 County Road 519 Ste 2, Belvidere, NJ 07823 | 2007-05-11 |
| 1033219142 | Laura M Baylor | Nurse Practitioner | 540 County Road 519, Suite 2, Belvidere, NJ 07823-2672 | 2006-09-25 |
| 1386270510 | Rebecca Murray | Nurse Practitioner | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2020-03-19 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| 1043554918 | Diana E Schultz | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2012-11-16 |
| 1679724561 | Gail Y Brick | Nurse Practitioner | 2170 Pearl St, Belvidere, IL 61008-6020 | 2008-10-09 |
| 1013104926 | Michelle Ruth Finamore | Nurse Practitioner | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2007-09-25 |
| Find all providers in BELVIDERE | ||||
Please comment or provide details below to improve the information on TRACY A PALMER.
| 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.