TRACY SOUTHERN (NPI# 1740726660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740726660 |
| Entity Type | Individual |
| Full Name | TRACY SOUTHERN |
| Credential | FNP |
| Practice Address |
101 W Sycamore St Columbus KS 66725-1276 |
| Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Practice Telephone | 6204292101 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
79397 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013023791 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 W SYCAMORE ST |
| City | COLUMBUS |
| State | KS |
| Zip Code | 66725-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356422 | James Compton | Emergency Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-04-18 |
| 1730701947 | Brice I Saunders | Registered Nurse | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-05-11 |
| 1568094662 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-02-06 |
| 1356789556 | Mercy Hospital Columbus | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2013-06-10 |
| 1598057945 | Mercy Hospital Joplin | Hospice Care, Community Based | 101 W Sycamore St, Columbus, KS 66725-1276 | 2011-05-04 |
| 1043547474 | Mercy Clinic Joplin LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 W Sycamore St, Columbus, KS 66725-1276 | 2009-11-05 |
| 1750618351 | Mercy Clinic Joplin LLC | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725 | 2009-11-03 |
| 1336333921 | William F Harrison | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-28 |
| 1972794402 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-08 |
| 1255416558 | Benjamen Howard Williams | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1275836819 | Kansas Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 217 S Kansas Ave, Columbus, KS 66725 | 2010-12-20 |
| 1801941083 | Mike Carpino Ford Mercury In | Durable Medical Equipment & Medical Supplies | Hwy 160 69 7 Jct, Columbus, KS 66725 | 2007-01-25 |
| 1780770099 | Evans Drug Inc | Pharmacy | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1871829812 | Mercy Hospital Columbus | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1598091530 | Mercy Hospital Columbus | Medicare Defined Swing Bed Unit | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1356437677 | Jason W Hulvey | Pharmacist | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1386724995 | County of Cherokee | Public Health or Welfare | 110 East Walnut, Columbus, KS 66725-0107 | 2006-10-17 |
| 1972699296 | Evan P Mcnemar | Pharmacist | 116 W Pine, Columbus, KS 66725-0309 | 2006-10-05 |
| 1609963578 | Medicalodges, Inc. | Skilled Nursing Facility | 101 Lee Ave, Columbus, KS 66725-1021 | 2006-10-10 |
| Find all providers in zip 66725 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.