TRACEY LYNN RUSNAK (NPI# 1720610082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720610082 |
Entity Type | Individual |
Full Name | TRACEY LYNN RUSNAK |
Practice Address |
1044 Belmont Ave Youngstown OH 44504-1006 |
Mailing Address |
6935 Woodlands Ln Solon OH 44139-4664 |
Practice Telephone | 3307467211 |
Mailing Telephone | 4404984756 |
Mailing Fax Number | 4404988177 |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.026275 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1044 BELMONT AVE |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44504-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043210495 | Select Specialty Hospital - Youngstown Inc | Long Term Care Hospital | 1044 Belmont Ave, Youngstown, OH 44501-1006 | 2005-07-28 |
1326659558 | Tiewei Cheng | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-08-11 |
1649892225 | Mercy Health Physicians Youngstown Specialty Care LLC | Allergy & Immunology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-18 |
1023630936 | Dana Schwartz | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-13 |
1861012346 | Margaret Jane Gibson | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-24 |
1801416425 | Courtney Colles | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-23 |
1427678218 | Jordynn Pozzuto | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-21 |
1518587799 | Bryan Wang | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-17 |
1528687381 | Alexis Lynn De La Cruz | Radiology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-13 |
1467071290 | Garrett Andrew Frank | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
Find all providers in zip 44504 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144706821 | Angela D Peachock | Nurse Practitioner | Serenity Center, 8440 Market St., Youngstown, OH 44512-6702 | 2018-07-16 |
1730168287 | Christopher M Kalinyak | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2006-01-12 |
1699326637 | Madison Ivy Taylor | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2019-09-20 |
1265088199 | Heather Ashley Dawson | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-15 |
1720560634 | Shiloh Dawn Mcfarland | Nurse Practitioner | 196 Colonial Dr, Youngstown, OH 44505-2139 | 2018-09-06 |
1154870590 | John Blackwell | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2016-09-27 |
1225414410 | Brankica Podravac | Nurse Practitioner | 535 Marmion Ave, Youngstown, OH 44502 | 2015-08-11 |
1831446863 | Melinda Michele Smith | Nurse Practitioner | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2012-08-09 |
1598048563 | Natalie G Kozicky | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2011-09-26 |
1871773937 | Renee Marie Minotti | Nurse Practitioner | 2031 Belmont Ave, Youngstown, OH 44505-2401 | 2007-11-06 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44504 |
Please comment or provide details below to improve the information on TRACEY LYNN RUSNAK.
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.