MS. TRACI ANN CHURCH (NPI# 1710380621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710380621 |
| Entity Type | Individual |
| Full Name | MS. TRACI ANN CHURCH |
| Other Name | TRACY KNIGHT |
| Credential | CRNP |
| Practice Address |
1325 Mount Hermon Rd Ste 9a Salisbury MD 21804 |
| Mailing Address |
1325 Mount Hermon Rd Ste 9a Salisbury MD 21804-5259 |
| Practice Telephone | 4107496833 |
| Practice Fax Number | 4107495139 |
| Mailing Telephone | 4107496833 |
| Mailing Fax Number | 4107495139 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2019-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R186099 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1665 Woodbrooke Dr, Salisbury, MD 218048502 | 4105466650 | 4105462656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942757828 | Traci Church | Licensed Practical Nurse | 90 Hospital Dr, Athens, OH 45701-2301 | 2016-09-08 |
| Street Address |
1325 MOUNT HERMON RD STE 9A |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257855 | Mid Atlantic Primary Care | Nurse Practitioner | 1325 Mount Hermon Rd Ste 9a, Salisbury, MD 21804-5259 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891347761 | Craig Mullen | Nurse Practitioner | 436 Rolling Rd, Salisbury, MD 21801-7115 | 2019-07-11 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1205496452 | Priscilla Afram Debrah | Nurse Practitioner | 106 Milford St Ste 503, Salisbury, MD 21804-6958 | 2019-06-19 |
| 1801375498 | Jennifer Hart | Nurse Practitioner | 1101 Camden Ave # Dh240, Salisbury, MD 21801-6860 | 2018-08-14 |
| 1073006862 | Jonathan Andrews | Nurse Practitioner | 1201 Pemberton Dr Ste 2a, Salisbury, MD 21801-2501 | 2018-06-07 |
| 1174050447 | Melody Jean Evans | Nurse Practitioner | 145 E Carroll St Ste 101102, Salisbury, MD 21801 | 2017-05-17 |
| 1891124608 | Lauren Moore | Nurse Practitioner | 100 E Carroll St Ste 301&406, Salisbury, MD 21801-5422 | 2013-11-02 |
| 1033465166 | Patricia Maria Morales | Nurse Practitioner | 5584 King Stuart Dr, Salisbury, MD 21801-2358 | 2012-07-26 |
| 1871874198 | Affinity Services LLC | Nurse Practitioner | 6062 Bridle Ct, Salisbury, MD 21801-1715 | 2011-08-31 |
| 1952689192 | Tonya L. Howell | Nurse Practitioner | 1205 Pemberton Drive, Suite 105, Salisbury, MD 21801-2483 | 2011-07-21 |
| Find all providers in SALISBURY | ||||
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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.