TRACY THOMAS GUM (NPI# 1750681920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750681920 |
| Entity Type | Individual |
| Full Name | TRACY THOMAS GUM |
| Credential | APRN, FNP-BC |
| Practice Address |
8585 Picardy Ave Ste 114 Baton Rouge LA 70809-3679 |
| Practice Telephone | 2258191130 |
| Practice Fax Number | 2257634617 |
| Mailing Telephone | 2258191130 |
| Mailing Fax Number | 2257634617 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN096007-AP06308 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8585 PICARDY AVE STE 114 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617623 | Joyce Catherine Mire | Nurse Practitioner | 8585 Picardy Ave Ste 114, Hmg- Baton Rouge General, Baton Rouge, LA 70809-3679 | 2005-08-30 |
| 1447631023 | Hmg Physicians, LLC | Internal Medicine | 8585 Picardy Ave Ste 114, C/o Hospital Medicine Group, Baton Rouge, LA 70809-3679 | 2015-06-09 |
| 1548517329 | Jorge Ramos Perez | Hospitalist | 8585 Picardy Ave Ste 114, Baton Rouge General Hmg, Baton Rouge, LA 70809-3679 | 2012-08-10 |
| 1508111634 | Kiran Garikapati | Hospitalist | 8585 Picardy Ave Ste 114, Baton Rouge General Hmg, Baton Rouge, LA 70809-3679 | 2012-07-15 |
| 1144586959 | Srikar Reddy Mapakshi | Hospitalist | 8585 Picardy Ave Ste 114, Baton Rouge, LA 70809-3679 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1881211803 | Shelita Banks | Nurse Practitioner | 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 | 2020-06-26 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.