TRACY PRIMUS-BLACKMON (NPI# 1760931604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760931604 |
| Entity Type | Individual |
| Full Name | TRACY PRIMUS-BLACKMON |
| Other Name | MRS. TRACY PRIMUS-BLACKMON |
| Practice Address |
985 Gorge Blvd Akron OH 44310-2407 |
| Mailing Address |
534 Merriman Rd Akron OH 44303-1644 |
| Practice Telephone | 3307612665 |
| Practice Fax Number | 3307612661 |
| Mailing Telephone | 3307612665 |
| Mailing Fax Number | 3307612661 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.143750.MEDS- | OH | Nursing Service Providers |
| Street Address |
985 GORGE BLVD |
| City | AKRON |
| State | OH |
| Zip Code | 44310-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497172365 | Deanna Messer | Physical Therapist | 985 Gorge Blvd, Akron, OH 44310-2407 | 2014-03-27 |
| 1003352063 | Asian Services In Action, Inc | Clinic/Center | 985 Gorge Blvd, Akron, OH 44310-2407 | 2017-01-16 |
| 1215334750 | Kelly Elizabeth New | Speech-Language Pathologist | 985 Gorge Blvd, Akron, OH 44310-2407 | 2014-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036687 | Carmen Gray-dunn | Licensed Practical Nurse | 1900 W Market St Ste H, Akron, OH 44313-6927 | 2020-09-02 |
| 1962024190 | India Monique Taylor | Licensed Practical Nurse | 613 N Hawkins Ave, Akron, OH 44313-5661 | 2020-05-11 |
| 1639708985 | Clarissa Cargill | Licensed Practical Nurse | 1297 Harmon Ave, Akron, OH 44307-1122 | 2020-04-07 |
| 1952930943 | Ebony Y. Scott | Licensed Practical Nurse | 631 Glendora Ave, Akron, OH 44320-1964 | 2020-04-02 |
| 1659918050 | Kimberly Ann Sampson | Licensed Practical Nurse | 895 Merton Ave, Akron, OH 44306-1917 | 2019-12-04 |
| 1508403361 | Melrose Home Care LLC | Licensed Practical Nurse | 316 Rhodes Ave, Akron, OH 44302-1459 | 2019-11-27 |
| 1679116081 | Stacy Mccail White | Licensed Practical Nurse | 1025 Emma Ave, Akron, OH 44302-1113 | 2019-10-18 |
| 1003463407 | Nashelle Joyce Rice | Licensed Practical Nurse | 872 Seward Ave, Akron, OH 44320-1749 | 2019-08-20 |
| 1659937779 | Tymesha Jabree Nicole Greer | Licensed Practical Nurse | 119 Tandy Ln, Akron, OH 44311-1328 | 2019-05-14 |
| 1558821082 | Karen Yvonne Singleton | Licensed Practical Nurse | 827 Merton Ave, Akron, OH 44306-1909 | 2019-03-21 |
| Find all providers in AKRON | ||||
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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.