TRACEY LYNN NIMEH (NPI# 1700935723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700935723 |
| Entity Type | Individual |
| Full Name | TRACEY LYNN NIMEH |
| Other Name | TRACEY LYNN STECKER |
| Credential | PA-C |
| Practice Address |
602 S Howard Ave Tampa FL 33606-2413 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8132532406 |
| Practice Fax Number | 8132574290 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103963 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003142600 | 05 | |
| FL | RR MCR | P01600606 | 01 |
| Street Address |
602 S HOWARD AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326484 | Tampa Orthopaedic & Sports Medicine Group | Durable Medical Equipment & Medical Supplies | 602 S Howard Ave, Tampa, FL 33606-2413 | 2005-09-14 |
| 1619463825 | Florida Medical Clinic LLC | Non-Pharmacy Dispensing Site | 602 S Howard Ave, Tampa, FL 33606-2413 | 2018-07-11 |
| 1477914869 | Florida Medical Clinic LLC | Clinic/Center | 602 S Howard Ave, Tampa, FL 33606-2413 | 2016-03-11 |
| 1124407333 | Tampa Orthopaedic & Sports Medicine Group | Non-Pharmacy Dispensing Site | 602 S Howard Ave, Tampa, FL 33606-2413 | 2015-05-20 |
| 1316280407 | Jack Kwangsauan Tseng | Family Medicine | 602 S Howard Ave, Tampa, FL 33606-2413 | 2013-03-27 |
| 1063694735 | South Tampa After Hours Clinic, LLC | Clinic/Center | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-12-04 |
| 1457565095 | Craig S Vecchiarelli | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-05-10 |
| 1659594901 | Jeff Roger Desjardine | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2007-04-11 |
| 1952351058 | Maria Esther Thompson | Physical Therapist | 602 S Howard Ave, Tampa, FL 33606-2413 | 2006-05-11 |
| 1740243567 | Arnold M Ramirez | Family Medicine | 602 S Howard Ave, Tampa, FL 33606-2413 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377219 | Hansel David Baez | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-10-20 |
| 1972502714 | Cynthia B Anders | Physician Assistant | 12880 Commodity Pl, Tampa, FL 33626-3101 | 2005-07-14 |
| 1144783630 | Rachel Tipton | Physician Assistant | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-04-11 |
| 1275022618 | Samantha Anna Wloch | Physician Assistant | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2018-05-01 |
| 1154825537 | Seth Lloyd | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2018-03-21 |
| 1649782384 | Riley Harms | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-11-03 |
| 1982137824 | Chris Taylor | Physician Assistant | 3000 Medical Park Dr, Ste 500, Tampa, FL 33613-4680 | 2017-04-07 |
| 1184157174 | Maya Niewiadomska | Physician Assistant | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2017-04-06 |
| 1720537921 | Paolo Calizo | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2016-09-28 |
| 1104293380 | Vc-pa First Assist, LLC | Physician Assistant | 10006 Cross Creek Blvd, #449, Tampa, FL 33647-2595 | 2015-08-24 |
| Find all providers in TAMPA | ||||
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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.