TRACY HARMON (NPI# 1851766620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851766620 |
| Entity Type | Individual |
| Full Name | TRACY HARMON |
| Credential | NP-C |
| Practice Address |
6048 Lake Worth Blvd Fort Worth TX 76135-3706 |
| Practice Telephone | 8172525000 |
| Practice Fax Number | 8172525016 |
| Mailing Telephone | 8172525000 |
| Mailing Fax Number | 8172525016 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN165107 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1000061 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548554363 | Tracy Harmon | Speech-Language Pathologist | 136 W Johnstown Rd, Gahanna, OH 43230-2773 | 2011-06-09 |
| 1962685784 | Tracy Ann Harmon | Licensed Practical Nurse | 5717 Cairo Rd, Westerville, OH 43081-4006 | 2007-12-14 |
| 1154879625 | Tracy Lynn Harmon | Dental Hygienist | Bldg 39033 Support Ave, Dental Clinic 3 Fort Hood, Fort Hood, TX 76544 | 2016-09-14 |
| Street Address |
6048 LAKE WORTH BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76135-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629135157 | Kyle E Hoogendoorn | Podiatrist | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2007-01-03 |
| 1699064428 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2011-04-01 |
| 1528297405 | Juliette Fumtim | Family Medicine | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2009-07-13 |
| 1821278151 | Kanayochukwu Kanny Jacquelyne Anya | Surgery | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2007-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283501 | Sung Ryel Choi | Dentist | 6014 Azle Ave # 100, Lake Worth, TX 76135 | 2018-08-06 |
| 1750882056 | Kandess Klein | Licensed Vocational Nurse | 8825 Claiborn St, Lakeside, TX 76135 | 2018-02-22 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| 1598207821 | Young Men's Christian Association of Metropolitan Fort Worth | Health Educator | 5315 Boat Club Rd, Fort Worth, TX 76135 | 2016-11-17 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1316300999 | National Vision, Inc. | Technician/Technologist | 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 | 2016-04-01 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1316134125 | Home Town Dental,pa | Dentist | 6332 Lake Worth, Lake Worth, TN 76135 | 2007-09-26 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1457570053 | Dawn Denise Ezelle | Occupational Therapy Assistant | 3400 Marine Drive, Fort Worth, TX 76135 | 2007-04-24 |
| Find all providers in zip 76135 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430651 | Amanda Raye Juarez | Nurse Practitioner | 1500 Cooper St Fl 2, Fort Worth, TX 76104-2710 | 2020-09-02 |
| 1841800257 | Dorothy L. Osborne | Nurse Practitioner | 6420 Altamesa Blvd Ste 100, Fort Worth, TX 76132-3553 | 2020-08-01 |
| 1972072510 | Peter Karera Ndungi | Nurse Practitioner | 1341 Cattle Crossing Dr, Fort Worth, TX 76131-5333 | 2018-11-13 |
| 1063947117 | Metroplex Integrative Rehabilitation Services | Nurse Practitioner | 4441 Bryant Irvin Rd N., Fort Worth, TX 76107 | 2017-04-26 |
| 1245232297 | Sundie Wright Ellis | Nurse Practitioner | 10717 Lipan Trl, Fort Worth, TX 76108-6924 | 2005-06-02 |
| 1578179636 | Lisa Guerra | Nurse Practitioner | 750 8th Ave Ste 200, Fort Worth, TX 76104-2500 | 2020-09-23 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1295371037 | Katelyn M Okaro | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-11-26 |
| 1174166573 | Caroline W Sims | Nurse Practitioner | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2019-10-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76135 |
Please comment or provide details below to improve the information on TRACY HARMON.
| 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.