TRACI MICHELLE JONES (NPI# 1639723588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639723588 |
| Entity Type | Individual |
| Full Name | TRACI MICHELLE JONES |
| Credential | PMHNP - BC |
| Practice Address |
4 Deerwood Ave Nw Wadena MN 56482-1253 |
| Mailing Address |
25353 151st Ave Sebeka MN 56477-2712 |
| Practice Telephone | 2186311360 |
| Mailing Telephone | 2183960449 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6773 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150134 | Traci Jones | Massage Therapist | 12000 4th St N Apt 44, St Petersburg, FL 33716-1710 | 2020-10-06 |
| 1992319974 | Traci Marie Jones | Speech-Language Pathologist | 16819 N 50th Way, Scottsdale, AZ 85254-1089 | 2020-09-07 |
| 1770008328 | Traci Cathryn Jones | Peer Specialist | 326 Mac Murdo St, Ashland, VA 23005-2116 | 2017-08-04 |
| 1528413127 | Traci Jones | Specialist/Technologist, Other | 911 Ne County Road 400, Mayo, FL 32066-4261 | 2016-05-02 |
| 1881044246 | Traci Taylor Jones | Physician Assistant | 371 E Paces Ferry Rd Ne Ste 900, Atlanta, GA 30305-3291 | 2016-06-16 |
| 1659655850 | Traci Noelle Jones | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2011-10-06 |
| 1538447487 | Traci Ann Jones | Nurse Practitioner | 1331 Prairie Ave, Suite 1, Cheyenne, WY 82009-4867 | 2011-07-26 |
| 1467493056 | Traci L Jones | Nurse Practitioner | 2201 S Getty St, Muskegon, MI 49444-1207 | 2006-06-08 |
| 1184689275 | Traci Lynn Jones | Family Medicine | 201 N Washington St, Kaiser Permanente Falls Church Medical Center, Falls Church, VA 22046-4518 | 2006-04-20 |
| Street Address |
4 DEERWOOD AVE NW |
| City | WADENA |
| State | MN |
| Zip Code | 56482-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639138 | Ross Jeffrey Anderson | Obstetrics & Gynecology | 4 Deerwood Ave Nw, Wadena, MN 56482-1296 | 2005-06-16 |
| 1184110561 | Sada Renee Aschnewitz | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2018-07-09 |
| 1366937229 | Dawn Ranae Sugg | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2018-06-24 |
| 1578842993 | Jamie L Udy | Nurse Practitioner | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2011-08-16 |
| 1275832230 | Alison J Meyer | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena Medical Center, Wadena, MN 56482-1296 | 2011-03-16 |
| 1134305162 | Tri County Hospital Inc. | Clinic/Center | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2008-01-22 |
| 1487841037 | Heidi Marie Groth Olson | Family Medicine | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2007-09-27 |
| 1992905475 | Benjamin A Hess | Family Medicine | 4 Deerwood Ave Nw, Wadena, MN 56482-1296 | 2007-07-23 |
| 1750581617 | Tina I Hulse | Physician Assistant | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2007-07-19 |
| 1578638029 | Thomas D Weston | Physician Assistant | 4 Deerwood Ave Nw, Wadena, MN 56482-1296 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| 1609474436 | Danelle Mary Vandermay | Pharmacist | 100 Juniper Ave, Wadena, MN 56482-1041 | 2020-10-14 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.