MRS. RENAE TRACIE (NPI# 1598947046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598947046 |
| Entity Type | Individual |
| Full Name | MRS. RENAE TRACIE |
| Credential | MASTERS |
| Practice Address |
1309 S. 37th St. Muskogee OK 74401-7908 |
| Mailing Address |
1309 S 37th St Muskogee OK 74401-7908 |
| Practice Telephone | 9189132434 |
| Mailing Telephone | 9189132434 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
730947232 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1309 S. 37TH ST. |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1720391923 | Billy Grimes Jr. | Counselor | 313 Gawf Ln, Muskogee, OK 74403-6109 | 2010-07-16 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1154513059 | Nancy Seabolt | Counselor | 2310 W. Broadway, Muskogee, OK 74401 | 2007-08-14 |
| 1497947303 | Ann Lewis | Counselor | 2310 W. Broadway St, Muskogee, OK 74401 | 2007-08-14 |
| 1871702167 | Kimberlee Janell Thomas | Counselor | 1162 Walnut St, Muskogee, OK 74403-2555 | 2007-05-22 |
| 1396960878 | Shelley A. Hoffman-green | Counselor | 2603 Rutherford St, Muskogee, OK 74403-7639 | 2007-04-17 |
| 1386774016 | Russell Wayne Bingham | Counselor | 4009 Eufala St, Muskogee, OK 74403 | 2007-03-06 |
| 1073148094 | Russell Rowland | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2020-03-10 |
| Find all providers in MUSKOGEE | ||||
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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.