TRACY E ESTRIDGE (NPI# 1619252178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619252178 |
| Entity Type | Individual |
| Full Name | TRACY E ESTRIDGE |
| Credential | APRN |
| Practice Address |
200 Medical Center Dr Hazard KY 41701-9466 |
| Practice Telephone | (606) 439-6600 |
| Practice Fax Number | 6064877901 |
| Mailing Telephone | (606) 439-6600 |
| Mailing Fax Number | 6064877901 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007195 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100184180 | 05 | |
| KY | LICENSE | 3007195 | 01 |
| Street Address |
200 MEDICAL CENTER DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556538 | Sheri Lynne Ratliff | Nurse Practitioner | 200 Medical Center Dr, Suite 2d, Hazard, KY 41701-9466 | 2005-05-23 |
| 1942765011 | Katherine Lynn Cornett | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-02-04 |
| 1972077121 | Kaitlin Kassandra Watts | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-01-21 |
| 1295201432 | Christa Gail Duff | General Practice | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2018-10-15 |
| 1609357573 | Allie Brooks Davidson | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2018-08-28 |
| 1295214047 | Johnathan O'neil Davidson | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701 | 2018-08-13 |
| 1932606159 | Appalachian Regional Healthcare, Inc | Pharmacy | 200 Medical Center Dr, Suite A, Hazard, KY 41701-9466 | 2018-04-13 |
| 1295267102 | Jacqueline Messer | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2017-03-30 |
| 1306389648 | Tabitha Collins | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2016-11-18 |
| 1558814962 | Megan Brewer | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2016-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195630 | Peter Jerome Youmans IIi | Nurse Practitioner | 101 Dennis Sandlin Md Cv, Hazard, KY 41701-1559 | 2020-05-13 |
| 1316305253 | Appalachian Health Care Inc | Nurse Practitioner | 48 Daniel Boone Plz Ste A, Hazard, KY 41701-5334 | 2016-02-07 |
| 1427039361 | Marilyn Ruth Osborne | Nurse Practitioner | 441 Gorman Hollow Rd, Hazard, KY 41701-2315 | 2005-11-08 |
| 1750385084 | Vera Hopper | Nurse Practitioner | 279 E Main St, Hazard, KY 41701-1920 | 2005-05-23 |
| 1124649694 | Lakeshia Jones | Nurse Practitioner | 57 Dennis Sandlin Md Cv, Hazard, KY 41701-1552 | 2020-05-06 |
| 1366076150 | Brittany April Morgan | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2020-03-02 |
| 1154966703 | Leandra G Smith | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-11-07 |
| 1053954263 | Rhonda K Hughes | Nurse Practitioner | 101 Town and Country Ln Ste 100, Hazard, KY 41701-9524 | 2019-10-21 |
| 1003467077 | Christie Hobson | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-09-21 |
| 1316404296 | Rebecca Ann Francis | Nurse Practitioner | 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 | 2019-02-27 |
| Find all providers in HAZARD | ||||
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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.