MS. TRACEY M HALL


Address: 1 Eaton Pl, St. Vincent Hosptial Breast Care Program One, Worcester, MA 01608-1232
Phone: 5083636881

MS. TRACEY M HALL (NPI# 1972572022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972572022
Entity Type Individual
Full Name MS. TRACEY M HALL
Other Name MS. CONNORS M TRACEY
Credential NP
Practice Address 1 Eaton Pl
St. Vincent Hosptial Breast Care Program One
Worcester
MA 01608-1232
Mailing Address 1 Eaton Pl
Ste 23
Worcester
MA 01608-1232
Practice Telephone 5083636881
Practice Fax Number 5083637591
Mailing Telephone 5083636881
Mailing Fax Number 5083637591
Enumeration Date 2006-03-14
Last Update Date 2014-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 4704256710 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 254657 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0398756 05

Other Providers TRACEY HALL

NPI Name Taxonomy Address Enumeration
1720549579 Tracey Y Hall Behavior Technician 205 Storey Blvd Ste 120, Cheyenne, WY 82009-3566 2019-03-26
1770016180 Tracey Hall Nurse's Aide 234 Jennifer Ln, Calumet City, IL 60409-1461 2017-04-04
1063827897 Tracey Hall Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2014-07-01

Office Location

Street Address 1 EATON PL
ST. VINCENT HOSPTIAL BREAST CARE PROGRAM ONE
City WORCESTER
State MA
Zip Code 01608-1232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700873783 Ahmad Daniyal Siddiqui Internal Medicine 1 Eaton Pl, Worcester, MA 01608-1232 2005-10-04
1972131100 Tara Jean Wise Social Worker 1 Eaton Pl, Worcester, MA 01608-1232 2020-04-01
1982104287 Donna Marie Lacerte-blais Social Worker 1 Eaton Pl, Worcester, MA 01608-1232 2018-02-14
1770985699 Zoe Paleologos Physician Assistant 1 Eaton Pl, Worcester, MA 01608-1232 2014-09-23
1174922397 Imaging Consultants Inc Clinic/Center 1 Eaton Pl, Worcester, MA 01608-1232 2014-08-14
1033536636 Quest Diagnostics Massachusetts LLC Clinical Medical Laboratory 1 Eaton Pl, Worcester, MA 01608-1232 2014-03-21
1962564153 James Dennis O'shea Internal Medicine 1 Eaton Pl, Ste 23, Worcester, MA 01608-1232 2006-12-14
1407917412 Diane Lockhart Surgery 1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 2006-12-13
1811933047 William Barry Casey Radiology 1 Eaton Pl, Worcester, MA 01608-1232 2006-06-22
1215983358 James J Rooney Internal Medicine 1 Eaton Pl, Suite 300, Worcester, MA 01608-1232 2006-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033721733 Rebecca Smith Morgan Physical Therapist Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 2020-08-24
1083244057 Marc Labb Counselor 25 Union St 3rd Floor, Worcester, MA 01608 2020-01-18
1154974145 Shanil Shah Student in an Organized Health Care Education/Training Program St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 2019-07-19
1194377069 Varun Kommalapati Student in an Organized Health Care Education/Training Program St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 2019-07-11
1992361182 Jenna Recko Physical Therapy Assistant Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 2019-05-14
1619452646 Kara Thompson Registered Nurse 100 Martin Luther King Jr Blvd, Worcester, MA 01608 2018-09-25
1427555325 Baran Umut Vardar Student in an Organized Health Care Education/Training Program 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 2018-04-09
1609380765 Mary Elizabeth O'donnell Occupational Therapist Easter Seals Ma, 484 Main Street, Worcester, MA 01608 2017-11-28
1093227316 Oasis Home Care, LLC Home Health 340 Main St Ste 803, Worcester, MA 01608 2017-10-26
1912437500 Peter A Rondon Social Worker 11 Sycamore Street, Worcester, MA 01608 2017-06-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679183545 Integral Health Partners LLC Nurse Practitioner 67 Millbrook St Ste 406a, Worcester, MA 01606-2845 2020-08-05
1548813728 Christina Marie Cruz Nurse Practitioner 123 Summer St Ste 685n, Worcester, MA 01608-1216 2019-07-17
1184126419 Nadia Saforo Nurse Practitioner 509 Plantation St Apt 221, Worcester, MA 01605 2018-03-02
1245567676 Steven Edward Mckinley Nurse Practitioner 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 2009-11-05
1609023985 Rosemary A Kirousis Nurse Practitioner 366 Shrewsbury St Apt 3, Worcester, MA 01604-4647 2008-08-19
1639231426 Addie Lawrence Nurse Practitioner 416 Belmont St, Worcester, MA 01604-1086 2006-12-15
1164521712 Kathy Volin Pulda Nurse Practitioner 378 Plantation St, Geriatrics Department, Worcester, MA 01605-2324 2006-09-21
1194822650 Patricia A Macculloch Nurse Practitioner 119 Belmont Street, Spince Center, Worcester, MA 01605 2006-09-19
1922111525 Claire C Davison Nurse Practitioner 299 Lincoln Street, Suite 100, Worcester, MA 01605 2006-08-16
1801861471 Paula Flanagan Nurse Practitioner 530 Plantation St, Worcester, MA 01605 2006-02-17
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Competitor

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City WORCESTER
Zip Code 01608

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Dataset Information

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.

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