MRS. TRACIE SMITH (NPI# 1760815088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760815088 |
| Entity Type | Individual |
| Full Name | MRS. TRACIE SMITH |
| Credential | FNP |
| Practice Address |
244 Church St Sumter SC 29150 |
| Mailing Address |
244 Church St Sumter SC 29150-4256 |
| Practice Telephone | 8037751001 |
| Practice Fax Number | 8037741012 |
| Mailing Telephone | 8037751001 |
| Mailing Fax Number | 8037741012 |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18417 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 E Hospital St, Manning, SC 291023153 | 8034353182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912264656 | Tracie V Smith | Social Worker | 1403 Eli Bowen Rd, Williamston, NC 27892-7942 | 2012-04-19 |
| 1053381319 | Tracie D Smith | Nurse Practitioner | 100 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2006-01-26 |
| 1992285225 | Tracie Smith | Physician Assistant | 400 S 43rd St, Renton, WA 98055-5714 | 2018-08-16 |
| 1619391752 | Tracie Smith | Counselor | 231 Se Barrington Dr, Suite 203, Oak Harbor, WA 98277-3200 | 2014-02-10 |
| 1447503982 | Tracie L Smith | Social Worker | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2012-10-22 |
| 1033478458 | Tracie D Smith | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2012-05-04 |
| 1942346945 | Tracie Jeannette Smith | Physical Therapist | 10560 Old Olive Street Rd, Suite 100, Creve Coeur, MO 63141-5916 | 2007-01-29 |
| Street Address |
244 CHURCH ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743595 | Hugh T Stoddard Jr. | Internal Medicine | 244 Church St, Sumter, SC 29150-4256 | 2005-10-12 |
| 1063897726 | Laurin Gaymon Lee | Nurse Practitioner | 244 Church St, Sumter, SC 29150-4256 | 2015-07-23 |
| 1124313101 | Carolina Geriatric Specialists, LLC | Specialist | 244 Church St, Sumter, SC 29150-4256 | 2011-06-17 |
| 1356544100 | John Edgar Kleckley | Family Medicine | 244 Church St, Sumter, SC 29150-4256 | 2007-06-08 |
| 1265418164 | Macdonald Mayes Dubose | Family Medicine | 244 Church St, Sumter, SC 29150-4256 | 2005-12-22 |
| 1790773752 | Internal Medical Associates, Pa | Internal Medicine | 244 Church St, Sumter, SC 29150-4256 | 2005-10-12 |
| 1487642443 | Philip H Brandt | Internal Medicine | 244 Church St, Sumter, SC 29150-4256 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831843 | Paula Antoinette Dyer | Nurse Practitioner | 1804 Mallory Dr, Sumter, SC 29154-8900 | 2020-08-14 |
| 1679132997 | Roselyn E Hobbs | Nurse Practitioner | 2458 Derwent Dr, Sumter, SC 29154-1054 | 2019-06-10 |
| 1679037410 | Kurtis Rodine | Nurse Practitioner | 319 N. Main St., Sumter, SC 29150-2664 | 2019-01-25 |
| 1659845782 | Carmen Ridgeway Butler | Nurse Practitioner | 115 N Sumter St Ste 305, Sumter, SC 29150-4967 | 2019-01-11 |
| 1700391430 | Barbara Jean Epps | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2017-12-04 |
| 1548703804 | Lorie P Hodge | Nurse Practitioner | 1810 Lirope Way, Sumter, SC 29154-1687 | 2016-11-18 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1821258435 | Celia M Herring | Nurse Practitioner | 649 W Wesmark Blvd, Sumter, SC 29150-1900 | 2008-06-17 |
| 1801078662 | Samuel Wachter | Nurse Practitioner | 217 North Purdy St, Sumter, SC 29150 | 2007-12-03 |
| 1720173172 | Deanna Fiegel Bevan | Nurse Practitioner | Sumter County Health Department, 105 North Magnolia St, Sumter, SC 29150 | 2006-10-03 |
| Find all providers in SUMTER | ||||
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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.