MRS. TRACIE R EDWARDS (NPI# 1821248865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821248865 |
| Entity Type | Individual |
| Full Name | MRS. TRACIE R EDWARDS |
| Practice Address |
1110 Eldon Baker Dr Flint MI 48507-1923 |
| Practice Telephone | 8102131803 |
| Practice Fax Number | 8107441306 |
| Mailing Telephone | 8102131803 |
| Mailing Fax Number | 8107441306 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011486 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134384357 | Tracie Dawn Edwards | Hearing Instrument Specialist | 7760 Route 417 W, Bolivar, NY 14715 | 2008-07-28 |
| 1669084760 | Tracie Susan Edwards | Technician | 4550 W Oakey Blvd Ste 101a, Las Vegas, NV 89102-1506 | 2020-08-19 |
| 1104486711 | Tracie Theresa Edwards | Nurse Practitioner | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2019-06-17 |
| 1215439617 | Tracie L Edwards | Case Manager/Care Coordinator | 2500 John Glenn Hwy, Cambridge, OH 43725-9028 | 2018-03-02 |
| Street Address |
1110 ELDON BAKER DR |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033515 | Cassandra L Coney-stewart | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2006-06-18 |
| 1376142042 | Britny Madison Childers | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-10-22 |
| 1124634100 | Amber Minando | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-09-16 |
| 1215545470 | Danielle Elizabeth Hack | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-14 |
| 1649898610 | Amber Lynn Mcmillin | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-07 |
| 1255954517 | Paul Kilgore | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-21 |
| 1720600968 | Daniel Nacker | Specialist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-11 |
| 1043850100 | Martell Lee | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-01-07 |
| 1386286862 | Kelly Sue Sheppard | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-16 |
| 1437790359 | Eugene Mahon | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930640 | Nikki Lynn Moorman | Counselor | 1295 S Linden Rd Ste F, Flint, MI 48532-3498 | 2020-10-18 |
| 1225635568 | Nichole Wright | Counselor | 5294 Timberwood Point Dr, Flint, MI 48532-2265 | 2020-10-08 |
| 1821603549 | Shift Consulting | Counselor | 2425 S Linden Rd Ste D138, Flint, MI 48532-5482 | 2020-09-10 |
| 1730797291 | Lauren Hawkins | Counselor | 18420 Serenity Way, Flint, TX 75762-9625 | 2020-07-20 |
| 1588214068 | Omni Odum | Counselor | 1121 Villa Linde Ct Bldg 39, Flint, MI 48532-3410 | 2019-09-16 |
| 1992357339 | Jennifer E Malone | Counselor | 1328 Williamsburg Rd, Flint, MI 48507-5628 | 2019-07-16 |
| 1073076055 | Michelle Lowder | Counselor | 17238 Pennie Ln, Flint, TX 75762-9148 | 2019-04-08 |
| 1457814550 | Monica Lynn Blackwell | Counselor | 2425 S Linden Rd Ste 134, Flint, MI 48532-5473 | 2019-04-08 |
| 1679080089 | Candace Shuel | Counselor | 2387 S Linden Rd Ste 124, Flint, MI 48532-5487 | 2018-01-08 |
| 1649786500 | Kristen Alexis Bedevian | Counselor | 16735 Gresham Cir # 101, Flint, TX 75762-3510 | 2017-12-14 |
| Find all providers in FLINT | ||||
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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.