ELLEN MARIE TRACY (NPI# 1760005367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760005367 |
| Entity Type | Individual |
| Full Name | ELLEN MARIE TRACY |
| Practice Address |
93 Williston Rd Apt 1 Brookline MA 02445-2138 |
| Practice Telephone | 2174946234 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN2336311 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629290531 | Ellen Marie Tracy | Marriage & Family Therapist | 110 Fifth St, Ste. 103, Ketchum, ID 83353 | 2007-05-02 |
| 1740317205 | Ellen D Tracy | Speech-Language Pathologist | 2705 Juan Tabo Ne, Ste A6, Albuquerque, NM 87112 | 2007-02-28 |
| Street Address |
93 WILLISTON RD APT 1 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770993 | Clarisse Rua | Registered Nurse | 40 Zain Cir, Milford, MA 01757-2831 | 2020-11-03 |
| 1801496542 | Nicole Rebecca Ekstrom | Registered Nurse | 80 Piers Park Ln Apt 3228, East Boston, MA 02128-2887 | 2020-10-30 |
| 1588263057 | Deborah Pearl Claflin Williams | Registered Nurse | 100 Bull Run, Holden, MA 01520-2641 | 2020-10-25 |
| 1992312607 | Jessica Lynn Moran Desautels | Registered Nurse | 213 Old Warren Rd, Palmer, MA 01069-9810 | 2020-09-26 |
| 1164032397 | Daniel Harry Chase | Registered Nurse | 274 Hawthorne St, Fall River, MA 02721-3108 | 2020-08-03 |
| 1457960304 | Lorian Candace De Oliveira | Registered Nurse | 16 Wyoming St Unit 2, Boston, MA 02121-1205 | 2020-07-27 |
| 1720606528 | Andra Lee Mckenna | Registered Nurse | 15 Bayberry Rd, Newburyport, MA 01950-3467 | 2020-07-08 |
| 1942827621 | Kristian Vanwormer | Registered Nurse | 14 Dick Dr, Worcester, MA 01609-1110 | 2020-06-29 |
| 1982229308 | Caitlin Paige Bigda | Registered Nurse | 35 Clark St, Belchertown, MA 01007-9306 | 2020-06-11 |
| 1013541945 | Joshua Costa | Registered Nurse | 95 Washburn St, Northborough, MA 01532-1329 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELLEN MARIE TRACY.
| 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.