TRACI E DRAUCKER (NPI# 1821066705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821066705 |
| Entity Type | Individual |
| Full Name | TRACI E DRAUCKER |
| Other Name | TRACI LEA WINSPAHR |
| Credential | PA-C |
| Practice Address |
912 Central Ave Grant NE 69140-3099 |
| Mailing Address |
900 Lincoln Ave Grant NE 69140-3095 |
| Practice Telephone | 3083527100 |
| Practice Fax Number | 3083527290 |
| Mailing Telephone | 3083527100 |
| Mailing Fax Number | 3083527290 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 664 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
912 CENTRAL AVE |
| City | GRANT |
| State | NE |
| Zip Code | 69140-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083252530 | Shannon Liewer | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2019-12-16 |
| 1780236828 | Marilyn Mcdaniel | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2019-07-09 |
| 1184906422 | Angela Mae Patrick | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2011-09-13 |
| 1932118908 | Kathy D Meyer | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-07 |
| 1790792729 | Perkins County Hospital District | Clinic/Center | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-02 |
| 1720095755 | Perkins County Hospital District | Clinic/Center | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-02 |
| 1205804143 | Kristi S Kohl | Family Medicine | 912 Central Ave, Grant, NE 69140-3099 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248220 | John Matthew Byrd | Family Medicine | 912 Central Avenue, Grant, NE 69140 | 2006-03-09 |
| 1366543365 | Colglazier Clinic | Clinic/Center | 945 Washington Avenue, Grant, NE 69140-0097 | 2006-09-25 |
| 1508969189 | Marvin Allen Swan | Dentist | 242 Central Ave, Grant, NE 69140-0863 | 2006-09-07 |
| 1528255668 | First Insight Eyecare, LLC | Optometrist | 115 W 3rd, Grant, NE 69140-0950 | 2007-10-03 |
| 1255340717 | Jorje Jette Geisert | Pharmacist | 218 Central Ave, Grant, NE 69140-3016 | 2006-08-05 |
| 1740526151 | J&j Pharms. LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2012-12-13 |
| 1073648663 | J & J Pharmacies LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2007-02-22 |
| 1619912045 | County of Perkins | Ambulance | 342 Central Ave, Grant, NE 69140-3021 | 2006-06-19 |
| 1285631721 | Clifford Ray Colglazier | General Practice | 945 Washington Ave, Grant, NE 69140-3044 | 2005-06-30 |
| 1235683087 | Julie Kuskie | Nurse Practitioner | 945 Washington Ave, Grant, NE 69140-3044 | 2016-08-10 |
| Find all providers in zip 69140 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914650 | Robert Poehl | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-06-27 |
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1083252530 | Shannon Liewer | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2019-12-16 |
| 1639648579 | Breanna Marie Manchip | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2018-11-21 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1801169404 | Lindsey Marie Hunter | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2012-02-14 |
| 1205164852 | Gerard Paul Miklosi | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2009-11-19 |
| 1598823528 | Carol S. Cornelius | Physician Assistant | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-12-04 |
| 1629099619 | Wendy R Alvesteffer | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-07-22 |
| 1700804234 | Kortnie A Karp | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-07-17 |
| Find all providers in GRANT | ||||
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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.