TRACY R WILSON (NPI# 1679736821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679736821 |
| Entity Type | Individual |
| Full Name | TRACY R WILSON |
| Credential | NP |
| Practice Address |
2859 Virginia Beach Blvd Virginia Beach VA 23452-7613 |
| Practice Telephone | 7573404901 |
| Practice Fax Number | 7573402502 |
| Mailing Telephone | 7573404901 |
| Mailing Fax Number | 7573402502 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024167889 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1699892612 | Tracy Lynn Wilson | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740 | 2007-03-23 |
| 1033256938 | Tracy C Wilson | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2007-01-31 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1265853055 | Tracy Wilson | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2013-12-20 |
| Street Address |
2859 VIRGINIA BEACH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700851367 | John K Palting | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2006-02-17 |
| 1174015549 | Joslyn Delsignore | Physician Assistant | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2018-06-01 |
| 1952817637 | Velocity Urgent Care, LLC | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2017-12-18 |
| 1922463306 | Laurie Beth Dierstein | Social Worker | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2015-12-29 |
| 1417248436 | Olusola Kendra Onayemi | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2011-04-25 |
| 1972718716 | Passport Health, Inc. | Preventive Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-05-14 |
| 1245357813 | Sentara Medical Group | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-03-26 |
| 1366417321 | Harry T Williams Jr. | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-22 |
| 1871568170 | Lynn M Shimabukuro | Internal Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-21 |
| 1396710786 | Stephen Menefee | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1407462575 | Jody Lynn Glass | Nurse Practitioner | 1567 Back Bay Landing Rd, Virginia Beach, VA 23457-1338 | 2020-09-23 |
| 1063027373 | Karen Elaine Callaway | Nurse Practitioner | 937 Sunnyside Dr, Virginia Beach, VA 23464-2128 | 2020-09-14 |
| 1477177582 | Laura Michelle Rossin | Nurse Practitioner | 736 Sequoia Way, Virginia Beach, VA 23451-4471 | 2020-06-04 |
| 1356964373 | A New Day Healthcare | Nurse Practitioner | 1604 Hilltop West Ctr Ste 215, Virginia Beach, VA 23451-6196 | 2020-05-26 |
| 1710508049 | Christina Barnett | Nurse Practitioner | 1413 Dermott Ave, Virginia Beach, VA 23455-4119 | 2020-04-28 |
| 1336769934 | Leah Rose | Nurse Practitioner | 4477 Pissarro Dr, Virginia Beach, VA 23456-5468 | 2020-04-23 |
| 1174151310 | Angela Fleetwood | Nurse Practitioner | 5712 Bannock Rd, Virginia Beach, VA 23462-3904 | 2020-04-01 |
| 1508498676 | John Charles Rowe Jr. | Nurse Practitioner | 4812 Station House Ln, Virginia Beach, VA 23455-1935 | 2020-02-06 |
| 1356997613 | Alfreda Curtis | Nurse Practitioner | 1527 Brendle Ct, Virginia Beach, VA 23464-6761 | 2019-08-13 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on TRACY R WILSON.
| 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.