TRACY LYNN PHILLIPS (NPI# 1629245998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629245998 |
| Entity Type | Individual |
| Full Name | TRACY LYNN PHILLIPS |
| Credential | LPN |
| Practice Address |
5620 W Birch Harbor Dr Wasilla AK 99654-9430 |
| Practice Telephone | 9077752800 |
| Mailing Telephone | 9077752800 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 5250 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558464990 | Tracy T Phillips | Obstetrics & Gynecology | 2089 Vale Road, Suite 10, San Pablo, CA 94806 | 2006-09-07 |
| 1619960408 | Tracy A Phillips | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2005-08-26 |
| 1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
| 1770073702 | Tracy Lanae Phillips | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2018-05-15 |
| 1508013293 | Tracy B Phillips | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2008-08-25 |
| 1689873754 | Tracy Phillips | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-17 |
| 1588876866 | Tracy Lee Phillips | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-07 |
| 1578648309 | Tracy Elizabeth Phillips | Social Worker | 2795 Richmond Ave, Staten Island, NY 10314-5857 | 2006-10-27 |
| 1376527051 | Tracy B Phillips | Pediatrics | 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-12-06 |
| Street Address |
5620 W BIRCH HARBOR DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144706458 | Alysia S Peppers | Licensed Practical Nurse | 3628 South Shady Lane, Wasilla, AK 99654 | 2018-07-19 |
| 1083123665 | Mareena Michelle Becerril-wild | Licensed Practical Nurse | 4219 S Pinnacle Peak Dr, Wasilla, AK 99623-0721 | 2017-09-26 |
| 1114467503 | Anna Meisel | Licensed Practical Nurse | 189 E Nelson Ave # 238, Wasilla, AK 99654-6462 | 2017-03-03 |
| 1972955532 | Jacqueline Gerrish | Licensed Practical Nurse | 401 S Wasilla St Unit 26, Wasilla, AK 99654-8173 | 2016-07-07 |
| 1194172049 | Madison Morgan | Licensed Practical Nurse | 6101 N Little Rock Cir, Wasilla, AK 99654-0427 | 2016-05-20 |
| 1881069540 | Gena Mckee | Licensed Practical Nurse | 2650 N Tamar Cir, B, Wasilla, AK 99654-2200 | 2015-12-07 |
| 1881062453 | Christopher Mobley | Licensed Practical Nurse | 189 E Nelson Ave, Wasilla, AK 99654-6462 | 2015-09-12 |
| 1104231380 | Vanessa Gittlein | Licensed Practical Nurse | 301 S Begich Dr, Wasilla, AK 99654-7619 | 2014-06-25 |
| 1962815316 | Shaina Brent | Licensed Practical Nurse | 2851 N Earl Dr, Wasilla, AK 99654-9352 | 2014-06-03 |
| 1053742288 | Zina Bodunov | Licensed Practical Nurse | 4921 S Binnacle Ave, Wasilla, AK 99654 | 2013-12-13 |
| Find all providers in WASILLA | ||||
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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.