TRACY EDWARDS (NPI# 1700865912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700865912 |
| Entity Type | Individual |
| Full Name | TRACY EDWARDS |
| Other Name | TRACY CREASER |
| Credential | NP |
| Practice Address |
12 High St Ste302 Lewiston ME 04240-7634 |
| Mailing Address |
12 High St Ste 302 Lewiston ME 04240-7634 |
| Practice Telephone | 2077955750 |
| Practice Fax Number | 2077955649 |
| Mailing Telephone | 2077955750 |
| Mailing Fax Number | 2077955649 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP081420 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 260520099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457711756 | Tracy Edwards | Midwife | 316 S 2nd Ave, Elmendorf, TX 78112-5543 | 2016-02-29 |
| 1649559170 | Tracy D Edwards | Pharmacist | 105365 S Highway 102 Bldg M, Mcloud, OK 74851-3051 | 2011-08-15 |
| 1568753127 | Tracy Lee Edwards | Nurse Practitioner | 220 W Colfax Ave Ste 400, South Bend, IN 46601-1635 | 2011-04-29 |
| 1952541757 | Tracy Lorraine Edwards | Registered Nurse | 8325 N Teutonia Ave, Milwaukee, WI 53209-1558 | 2009-03-06 |
| 1124103494 | Tracy Michelle Edwards | Dentist | 3320 S Church St, Correct Time Plaza, Burlington, NC 27215-9150 | 2006-10-26 |
| 1609805704 | Tracy Joy Edwards | Internal Medicine | 4200 Connecticut Ave Nw Bldg 44, Washington, DC 20008-1122 | 2006-07-01 |
| 1013979855 | Tracy L Edwards | Family Medicine | 129 South Main St, Suite A, Hiawassee, GA 30546 | 2006-04-05 |
| 1629627351 | Tracy Edwards | Rehabilitation Practitioner | 2560 Business Pkwy, Minden, NV 89423-8985 | 2019-09-05 |
| 1811431976 | Tracy Edwards | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2016-12-08 |
| 1073066718 | Tracy Edwards | Counselor | 737 S Lewis St, Metter, GA 30439-5128 | 2016-07-29 |
| Street Address |
12 HIGH ST STE302 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
| 1750991014 | Kayla Ann Harris | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2020-08-03 |
| 1063046597 | Angelica Leah Estes-lebrun | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2020-02-24 |
| 1154988046 | Joseph Renda IIi | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2019-05-26 |
| 1750862769 | Alex Beggs | Internal Medicine | 12 High St, Lewiston, ME 04240-7676 | 2018-08-27 |
| 1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
| 1194201988 | Kaitlyn Bernard | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2018-07-14 |
| 1801347604 | Jennifer-lynn Flynn | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-10-18 |
| 1578916706 | Jeffrey Robertson | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2016-07-23 |
| 1962854786 | Brianna Boutin | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1093363947 | Victoria Friedman | Nurse Practitioner | 60 High St Ste Y1, Lewiston, ME 04240-7616 | 2019-09-03 |
| 1588156111 | Kathryn Landry | Nurse Practitioner | 77 Bates St Ste 302, Lewiston, ME 04240-7637 | 2018-05-30 |
| 1912419243 | Lisa Renee Henderson | Nurse Practitioner | 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | 2017-10-26 |
| 1861741159 | Beverly Alane Kloepfer | Nurse Practitioner | 4087 Fairway Dr, Lewiston, ID 83501-9687 | 2012-09-03 |
| 1255629267 | Todd M Carpenter | Nurse Practitioner | 2315 8th Street, Lewiston, ID 83501-7303 | 2011-07-12 |
| 1245405158 | Sean Patrick Hailey | Nurse Practitioner | 5290 Military Road Suite 10 A & B, Lewiston, NY 14092-1953 | 2008-04-23 |
| 1366575284 | Rosanne S Marquis | Nurse Practitioner | 77 Bates Street, Suite 102, Lewiston, ME 04240 | 2007-03-13 |
| 1356422562 | Linda K Dewitt | Nurse Practitioner | 2517 17th St Ste B, Lewiston, ID 83501-6311 | 2006-10-17 |
| 1689766834 | Cheryl A Loetscher | Nurse Practitioner | 1522 17th Street, Lewiston, ID 83501 | 2006-09-28 |
| Find all providers in LEWISTON | ||||
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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.