Tracy Denise Wheeler, CNA/ HHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CNA123933 Issued in FL

Practice address

328 Avenue B
Waverly, FL 33877

Phone

(863) 514-0994

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1003053919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LUCERNE PARK RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811666",
            "telephone_number": "863-514-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 AVENUE B",
            "city": "WAVERLY",
            "state": "FL",
            "postal_code": "33877",
            "telephone_number": "863-514-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TRACY",
        "middle_name": "DENISE",
        "credential": "CNA/ HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "CNA123933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Argiro, CTP, CGCS, CTTP, MCC
• Tiara Dastineau

• Community Health Worker in Waverly, FL
• Providers in Waverly, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.