TRACY L WYNGAARD


Address: 7811 N Point Blvd, Winston Salem, NC 27106-3209
Phone: 3362815965

TRACY L WYNGAARD (NPI# 1659825123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659825123
Entity Type Individual
Full Name TRACY L WYNGAARD
Credential APNP
Practice Address 7811 N Point Blvd
Winston Salem
NC 27106-3209
Mailing Address Po Box 601843
Charlotte
NC 28260-1843
Practice Telephone 3362815965
Practice Fax Number 3362815873
Enumeration Date 2016-08-12
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5011861 NC Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 7132 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7811 N POINT BLVD
City WINSTON SALEM
State NC
Zip Code 27106-3209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497731434 Charity A. Martin Physician Assistant 7811 N Point Blvd, Winston Salem, NC 27106-3209 2005-12-21
1760950646 Carolina Medicorp Enterprises, Inc. Clinic/Center 7811 N Point Blvd, Winston Salem, NC 27106-3209 2018-11-08
1235635954 Amy Valerie Yu Physician Assistant 7811 N Point Blvd, Winston Salem, NC 27106-3209 2018-04-02
1235643420 Carolina Medicorp Enterprises, Inc. Emergency Medicine 7811 N Point Blvd, Winston Salem, NC 27106-3209 2017-11-27
1518334994 Lindsay Hammond Nurse Practitioner 7811 N Point Blvd, Winston Salem, NC 27106-3209 2015-09-01
1528455516 Deborah Michelle Brasher Nurse Practitioner 7811 N Point Blvd, Winston Salem, NC 27106-3209 2015-04-17
1689085680 Mary Theresa Massary Family Medicine 7811 N Point Blvd, Winston Salem, NC 27106 2014-05-13
1154745073 Mae Haliburton Nurse Practitioner 7811 N Point Blvd, Winston Salem, NC 27106-3209 2014-02-12
1336280742 Kimberly H Parrett Physician Assistant 7811 N Point Blvd, Winston Salem, NC 27106-3209 2007-02-09
1043361108 Milissa Johnson Fitzgerald Physician Assistant 7811 N Point Blvd, Winston Salem, NC 27106-3209 2007-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437799103 Tyler Laura Lawrence Behavioral Analyst 1959 N Peace, 104, Winston-salem, NC 27106 2020-01-10
1316504624 Amanda Baker Behavior Technician 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 2019-05-22
1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
1407378896 Applied Family Services of Winston-salem Early Intervention Provider Agency 4220 Witherow Rd, Winston Salem, NC 27106 2017-07-07
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316567175 Fenny Apondi Okello Nurse Practitioner 4254 Paula Dr, Winston Salem, NC 27127-6820 2020-04-22
1659917615 Mh Medical Services, PC Nurse Practitioner 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 2019-11-25
1053957118 Mh Medical Services, PC Nurse Practitioner 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 2019-11-25
1548756547 Tracy Gaffney Nurse Practitioner 4134 Macarthur St, Winston Salem, NC 27107-6124 2018-07-03
1568958692 Heather Triplett Nurse Practitioner Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 2018-07-01
1619498987 Yolanda Enrich Nurse Practitioner 652 E Monmouth St, Winston Salem, NC 27107-3227 2017-06-27
1316483738 Julie Shaun Kozel Nurse Practitioner 656 E Monmouth St, Winston Salem, NC 27107-3227 2017-01-09
1578923199 Denise B Westendorf Nurse Practitioner 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 2016-02-24
1568890705 Lourdes C Ramos Nurse Practitioner 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 2013-10-25
1063735504 Meredith Renae Clark Nurse Practitioner 605 Cotton St, Winston Salem, NC 27101-5080 2010-03-11
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Competitor

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City WINSTON SALEM
Zip Code 27106

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Dataset Information

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.

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