MS. TRACIE DIANE HOBBS (NPI# 1730201955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730201955 |
Entity Type | Individual |
Full Name | MS. TRACIE DIANE HOBBS |
Credential | LRTCTRS |
Practice Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
Mailing Address |
4172 Kennison Village Dr Winston Salem NC 27127-6695 |
Practice Telephone | 3367184638 |
Practice Fax Number | 3367189299 |
Mailing Telephone | 3369722965 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 926 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3333 SILAS CREEK PKWY |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880440 | Joy L Csikos | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2005-06-10 |
1861092421 | Madison Ann Cline | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-10-31 |
1285241083 | Erin Elphick | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-09-25 |
1851909626 | Alex Joseph Holton | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-07-17 |
1497370191 | Karen Shugart | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-06-09 |
1831721299 | Brianna Elaine Marks | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-02-04 |
1952946659 | Jennifer Michelle Lucio | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-11-18 |
1336799527 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-19 |
1467001503 | Hannah Dibble Palmer | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-11 |
1659926012 | Jamie Kornelis Hobson | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194356170 | Shaverence Lawanda Outlaw | Recreation Therapist | 3890 Old Vineyard Rd Apt 86b, Winston Salem, NC 27104-4880 | 2020-01-29 |
1043876493 | Home Again Senior Living Communities, LLC | Recreation Therapist | 1348 Westgate Center Dr, Winston Salem, NC 27103-2984 | 2019-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578037073 | Family First Physical Therapy L.L.C. | Recreation Therapist | 2726 Barringer Dr, Charlotte, NC 28208-7008 | 2019-01-17 |
1629593454 | Wesley Tyler | Recreation Therapist | 9139b Trinity Rd, Charlotte, NC 28216-1900 | 2017-08-14 |
1962923474 | Vernice Dolores Gallon Clyburn | Recreation Therapist | 126 S Rose Ave, Kannapolis, NC 28083-3552 | 2017-07-06 |
1316334618 | Shannon O'rawe | Recreation Therapist | 1707 Waterclose Ct, Apex, NC 27502-6264 | 2015-04-24 |
1073928685 | Allison Westpfahl | Recreation Therapist | 1208 Ben Williams Rd, Richlands, NC 28574-5128 | 2014-06-23 |
1467722736 | Melissa Sue Walker | Recreation Therapist | 6213 Lowergate Dr, Waxhaw, NC 28173-6747 | 2012-01-04 |
1881971174 | Melissa Hunt Lewis | Recreation Therapist | 4907 Creekside Dr, New Bern, NC 28562-5007 | 2011-11-15 |
1992002893 | Lois Stanga Harvin | Recreation Therapist | 1607 Temple St Sw, Valdese, NC 28690-9330 | 2011-02-12 |
1518261205 | James D Dozier-dozia | Recreation Therapist | 1245-b Independence Dr, Rocky Mt, NC 27804 | 2011-01-10 |
1093032096 | Myra S Austin | Recreation Therapist | 2551 Homestead Rd, Chapel Hill, NC 27516-9087 | 2010-04-29 |
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City | WINSTON SALEM |
Zip Code | 27103 |
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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.