KENDRA L TRACY (NPI# 1912476177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912476177 |
Entity Type | Individual |
Full Name | KENDRA L TRACY |
Other Name | KENDRA L RICKETTS |
Credential | CRNA |
Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
Practice Telephone | 3193562633 |
Practice Fax Number | 3193562940 |
Mailing Telephone | 3193562633 |
Mailing Fax Number | 3193562940 |
Enumeration Date | 2018-11-17 |
Last Update Date | 2019-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | D155263 | IA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548543382 | Kendra Tracy | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2011-09-27 |
Street Address |
200 HAWKINS DR |
City | IOWA CITY |
State | IA |
Zip Code | 52242-1009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
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Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760869663 | Dana Swanson | Nurse Anesthetist, Certified Registered | 1818 Chelsea Ct, Iowa City, IA 52240-4762 | 2015-04-29 |
1346685757 | Tacie A Clark | Nurse Anesthetist, Certified Registered | 150 Stanwyck Dr, Iowa City, IA 52240-5942 | 2013-04-30 |
1093025934 | David Scott Holcombe | Nurse Anesthetist, Certified Registered | 601 Us-6, Iowa City, IA 52246 | 2010-10-13 |
1003850728 | Larry Joseph Pirotte | Nurse Anesthetist, Certified Registered | 601 Hw 6 W, Va Medical Center, Iowa City, IA 52246 | 2006-06-15 |
1144887944 | Jaron D Lassen | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-05-28 |
1194280438 | Laurie L Mclaughlin | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-01-31 |
1104399146 | Taylor J Hull | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-01-02 |
1801393244 | Courtney Fahrer | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-04-11 |
1518464163 | Austin K Blay | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-04-10 |
1508363177 | Brandon S Janss | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-04-10 |
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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.