TRACEY KING (NPI# 1669805917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669805917 |
| Entity Type | Individual |
| Full Name | TRACEY KING |
| Practice Address |
80 Wilson Ave Medford NY 11763-1095 |
| Practice Telephone | 6313200535 |
| Mailing Telephone | 6313200535 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 301073 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164055125 | Tracey King | Dental Assistant | 12617 Waldorf Dr, Lynwood, CA 90262-5233 | 2020-02-18 |
| 1174008254 | Tracey Colleen King | Social Worker | 92 Pleasant St, Northborough, MA 01532-1842 | 2018-09-25 |
| 1528590759 | Tracey King | Occupational Therapist | 50 Craggenmore Rd, Pittsboro, NC 27312 | 2017-03-28 |
| 1093084048 | Tracey A King | Licensed Practical Nurse | 38 S 31st St, Wyandanch, NY 11798-3604 | 2011-12-21 |
| 1033567391 | Tracey D King | Counselor | 774 Albany St, Boston, MA 02118-2520 | 2016-05-27 |
| 1962725879 | Tracey Lynette King | Physical Therapist | 3790 Via De La Valle, Suite 205 and 206, Del Mar, CA 92014-4247 | 2010-03-05 |
| Street Address |
80 WILSON AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| 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 |
|---|---|---|---|---|
| 1801496310 | Dyshonia Louise Dent | Licensed Practical Nurse | 1102 Lake Dr, Medford, NY 11763-4620 | 2020-10-26 |
| 1225635790 | Ashley Hartford | Licensed Practical Nurse | 94 Greenport Ave, Medford, NY 11763-3725 | 2020-10-07 |
| 1609407162 | Hannah Lynn Chapman | Licensed Practical Nurse | 244a Jamaica Ave, Medford, NY 11763-3237 | 2020-02-03 |
| 1376181040 | Jeimy Baez | Licensed Practical Nurse | 1001 Lake Dr, Medford, NY 11763-4618 | 2019-12-12 |
| 1326681032 | Ariel L. Barbour | Licensed Practical Nurse | 299 Southaven Ave, Medford, NY 11763-4332 | 2019-10-25 |
| 1821550526 | Shermille J Pascall | Licensed Practical Nurse | 5 Short St, Medford, NY 11763-4037 | 2019-04-02 |
| 1912486671 | Rachael Adejaiye | Licensed Practical Nurse | 39 Carr Ln, Medford, NY 11763-1070 | 2018-08-13 |
| 1598244238 | Chantal N Palomeque | Licensed Practical Nurse | 316 Peconic Ave, Medford, NY 11763-3549 | 2018-08-13 |
| 1033698121 | Laura Ruth Melilli | Licensed Practical Nurse | 1211 Wave Ave, Medford, NY 11763-1753 | 2018-08-09 |
| 1700375078 | Shawndel Minter | Licensed Practical Nurse | 125 Maple Ln, Medford, NY 11763-1027 | 2018-05-02 |
| Find all providers in MEDFORD | ||||
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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.