TRACEY L RUESCHHOFF (NPI# 1851524458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851524458 |
| Entity Type | Individual |
| Full Name | TRACEY L RUESCHHOFF |
| Other Name | TRACEY L HOLLEY |
| Credential | CPO/LPO |
| Practice Address |
7777 Forest Ln Bldg C Dallas TX 75230-2505 |
| Practice Telephone | 9725664999 |
| Mailing Telephone | 9725664999 |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 109 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 109 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7777 FOREST LN BLDG C |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099276 | Lorraine Ann Lindsey | Nurse Practitioner | 7777 Forest Ln Bldg C, Suite 707, Dallas, TX 75230-2505 | 2009-08-28 |
| 1316330046 | Susan Collins | Nurse Practitioner | 7777 Forest Ln Bldg C, Suite 528, Dallas, TX 75230-2571 | 2015-03-05 |
| 1629368709 | Nicholas Roger Bosse | Chiropractor | 7777 Forest Ln Bldg C, Dallas, TX 75230-2571 | 2011-04-11 |
| 1528299567 | Richard Gomez | Orthotist | 7777 Forest Ln Bldg C, Suite 406, Dallas, TX 75230-2505 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
| 1902033996 | Misty Judson | Prosthetist | 6011 Harry Hines Blvd., Ste #v5.400, Dallas, TX 75390-9091 | 2009-06-17 |
| 1639153950 | Catherine Amy Miller Mehary | Prosthetist | 5496 La Sierra Dr, Dallas, TX 75231-4108 | 2005-11-30 |
| 1578112819 | Styles By Angie K, LLC | Prosthetist | 5402 Arapaho Rd, Dallas, TX 75248-6905 | 2019-09-10 |
| 1598324345 | Fabian Soldevilla | Prosthetist | 6011 Harry Hines Blvd, Dallas, TX 75390-9091 | 2019-06-06 |
| 1447738273 | Dara Breanne Spivey | Prosthetist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75235-5386 | 2018-08-02 |
| 1811498843 | Taneisha Volcy | Prosthetist | 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 | 2018-02-25 |
| Find all providers in DALLAS | ||||
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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.