TRACI L KILMARTIN (NPI# 1891039574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891039574 |
| Entity Type | Individual |
| Full Name | TRACI L KILMARTIN |
| Credential | LP, CP |
| Practice Address |
2108 E 3rd St Suite 100 Chattanooga TN 37404-2600 |
| Mailing Address |
2108 E 3rd St Ste 100 Chattanooga TN 37404-2623 |
| Practice Telephone | 4232670466 |
| Mailing Telephone | 4234932395 |
| Mailing Fax Number | 4234932368 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | PRO183 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN PROSTHETIS LICENSE | PRO183 | 01 |
| Street Address |
2108 E 3RD ST SUITE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395915 | William Todd Cockerham | Specialist | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2005-09-07 |
| 1417347527 | Richard C Morrison Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Ste 300, Chattanooga, TN 37404-2600 | 2015-01-27 |
| 1891127569 | Stephen Hixson Greer | Surgery | 2108 E 3rd St, Chattanooga, TN 37404-2600 | 2013-08-05 |
| 1093060436 | Shana T Hilson | Nurse Practitioner | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2012-07-23 |
| 1982988325 | Karen Elizabeth Hulley | Nurse Practitioner | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2011-10-04 |
| 1689970030 | James Ian Farrelly | Physician Assistant | 2108 E 3rd St, Chattanooga, TN 37404-2600 | 2011-02-02 |
| 1477876746 | University Surgical Associates, LLC | Prosthetist | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2010-03-01 |
| 1487864666 | Jeffrey S Horn | Surgery | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2007-05-23 |
| 1427147461 | Michael S. Loga | Nurse Practitioner | 2108 E 3rd St, Suite 300, Chattanooga, TN 37404-2600 | 2006-10-11 |
| 1154418150 | Wilson Monroe Clements | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Suite 300, Chattanooga, TN 37404-2600 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| 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 |
|---|---|---|---|---|
| 1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
| 1730610601 | Dallas Whicker | Prosthetist | 2710 Amnicola Hwy, Chattanooga, TN 37406-3603 | 2017-03-23 |
| 1225569221 | Jeff Roberts | Prosthetist | 2710 Amnicola Hwy, Chattanooga, TN 37406-3603 | 2017-03-22 |
| 1477876746 | University Surgical Associates, LLC | Prosthetist | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853865 | Marjorie D. Branch | Prosthetist | 949 E Brooks Rd, Memphis, TN 38116-3100 | 2019-04-01 |
| 1316415987 | Juliette Primm | Prosthetist | 1710 Sheila Ann Dr, Mount Juliet, TN 37122-3295 | 2018-11-12 |
| 1588146872 | Paula A Cobbs | Prosthetist | 6295 Summer Ave, Memphis, TN 38134-5982 | 2018-09-03 |
| 1730678590 | Hal Medical O&p Tennessee, LLC | Prosthetist | 135 N 1st St Ste A, Pulaski, TN 38478-3225 | 2018-05-08 |
| 1134621907 | Ava Lawanda Freeman | Prosthetist | 285 Dover Rd Ste 7, Clarksville, TN 37042-4155 | 2018-03-07 |
| 1861911497 | Pampered Health Cosmedic Studio, LLC | Prosthetist | 2528 Labonte Dr, Memphis, TN 38127-3608 | 2017-09-14 |
| 1073037248 | Unique Boutique | Prosthetist | 1127 N Eastman Rd Ste A, Kingsport, TN 37664-3165 | 2017-07-31 |
| 1992239578 | David Seaman | Prosthetist | 6807 Summer Ave, Bartlett, TN 38134-4742 | 2017-04-20 |
| 1467857243 | Tammy Kim Almond | Prosthetist | 109 Broyles Dr, Suite A, Johnson City, TN 37601 | 2014-10-23 |
| 1871748178 | Gary Lee Howell | Prosthetist | 800 Stonegate Rd., Kingsport, TN 37660 | 2008-12-01 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on TRACI L KILMARTIN.
| 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.