MS. AMANDA TRACEY (NPI# 1902121585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902121585 |
| Entity Type | Individual |
| Full Name | MS. AMANDA TRACEY |
| Credential | M.T. |
| Practice Address |
Highway 264, Milepost 388 Laboratory Polacca AZ 86042 |
| Mailing Address |
Po Box 4000 Laboratory Polacca AZ 86034 |
| Practice Telephone | 9287376220 |
| Practice Fax Number | 9287376047 |
| Mailing Telephone | 9287376220 |
| Mailing Fax Number | 9287376047 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537402 | Amanda Marie Tracey | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2019-09-16 |
| Street Address |
HIGHWAY 264, MILEPOST 388 LABORATORY |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635946 | Gary Alan Wilson | Dentist | Highway 264, Milepost 388, Polacca, AZ 86042-6042 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 246QL0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Laboratory Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184758757 | Linda M Nocilla | Spec/Tech, Pathology | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-03-15 |
| 1629031596 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson San Xavier Clinic | Spec/Tech, Pathology | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2006-04-10 |
Please comment or provide details below to improve the information on MS. AMANDA TRACEY.
| 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.