MISS TRACEY CHRISTINE WOOD (NPI# 1962839696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962839696 |
Entity Type | Individual |
Full Name | MISS TRACEY CHRISTINE WOOD |
Credential | PNP-PC |
Practice Address |
140 Bandage Ct Murrells Inlet SC 29576-5103 |
Mailing Address |
4310 Old Kings Hwy Murrells Inlet SC 29576-6353 |
Practice Telephone | 8436523300 |
Practice Fax Number | 8436523200 |
Mailing Telephone | 7174214512 |
Mailing Fax Number | 8436523200 |
Enumeration Date | 2013-09-26 |
Last Update Date | 2016-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN.18497 APRN | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396236238 | Tracey Wood | Specialist | 15225 Se 82nd Dr, Clackamas, OR 97015-7674 | 2018-05-26 |
1962985200 | Tracey Wood | Technician, Other | 1116 Summit Ave, Seattle, WA 98101-2831 | 2018-09-12 |
1477850527 | Tracey M. Wood | Counselor | 41945 Big Bear Blvd., Big Bear Lake, CA 92315 | 2011-02-24 |
Street Address |
140 BANDAGE CT |
City | MURRELLS INLET |
State | SC |
Zip Code | 29576-5103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
Find all providers in zip 29576 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396840963 | Christine Ann Denis | Nurse Practitioner | 140 Bandage Court, Murrells Inlet, SC 29576 | 2006-09-14 |
1134223233 | Dawn Nicole Fox | Nurse Practitioner | 140 Bandage Court, Murrells Inlet, SC 29576-2699 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
1215104351 | Robin D Estrada | Nurse Practitioner | 1228 Colonial Commons Ct Ste 231, Lancaster, SC 29720-2200 | 2008-05-08 |
Find all providers with the same taxonomy |
City | MURRELLS INLET |
Zip Code | 29576 |
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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.