TRACY SHAW (NPI# 1629514633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629514633 |
Entity Type | Individual |
Full Name | TRACY SHAW |
Credential | LADAC |
Practice Address |
4100 Barbara Loop Se Rio Rancho NM 87124-1000 |
Practice Telephone | 5057028547 |
Mailing Telephone | 5057028547 |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0141901 | NM | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548320096 | Tracy A Shaw | Speech-Language Pathologist | 1806 W Pampa Ave, Mesa, AZ 85202-8013 | 2006-12-12 |
1376103002 | Tracy Shaw | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-06-14 |
1730691122 | Tracy Shaw | Nurse Practitioner | 2055 Hospital Dr Ste 340, Batavia, OH 45103-1978 | 2017-10-25 |
1982727392 | Tracy Denise Shaw | Psychologist | 5855 Green Valley Cir, Suite 109, Culver City, CA 90230-6946 | 2007-04-09 |
1306868526 | Tracy Lynne Shaw | Pediatrics | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-07-24 |
Street Address |
4100 BARBARA LOOP SE |
City | RIO RANCHO |
State | NM |
Zip Code | 87124-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972899078 | Tracy E Walker | Social Worker | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2011-06-27 |
1407474117 | Paula-jean Jarrosak | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2020-07-09 |
1285289090 | Carol A Montoya | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2019-08-08 |
1629623491 | Deborah Henke | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2019-08-07 |
1518439488 | Mollie Whitson | Social Worker | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2018-12-17 |
1326525395 | Julia Camacho | Social Worker | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2018-07-23 |
1962917096 | Susan Klebanoff-taylor | Social Worker | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2017-12-12 |
1033621644 | Tricia Baca | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2017-11-05 |
1225571128 | John Stephen Calef | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2016-11-24 |
1992169544 | Richard Joseph Trotta Sr. | Counselor | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2016-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
Find all providers in zip 87124 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
1235789157 | Patrick O Obermuller | Counselor | 4101 Mountain Trail Loop Ne, Rio Rancho, NM 87144-7012 | 2019-09-12 |
1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
1477056562 | Steven Brian Shewmake Sr. | Counselor | 1531 White Pine Dr Ne, Rio Rancho, NM 87144-0595 | 2018-03-14 |
1861913535 | Deborah Dupriest | Counselor | 408 Albor Cir Ne, Rio Rancho, NM 87124-0834 | 2017-07-03 |
1790143519 | Jessica Risinger | Counselor | 557 Vancouver Rd Se Apt B, Rio Rancho, NM 87124-3855 | 2016-02-08 |
1023368065 | Alma R Babbitt | Counselor | 661 Quantum Rd Ne, Rio Rancho, NM 87124-4505 | 2012-09-18 |
1871861708 | Sydney Williams | Counselor | 6677 Augusta Hills Dr Ne, Rio Rancho, NM 87144-8642 | 2011-12-06 |
1538467063 | Ronald W Williams Sr. | Counselor | 1603 Golf Course Road Ne, Suite A, Rio Rancho, NM 87124 | 2011-03-08 |
Find all providers in RIO RANCHO |
City | RIO RANCHO |
Zip Code | 87124 |
Please comment or provide details below to improve the information on TRACY SHAW.
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.