Tracey Alexandria Woolley, lpn
Licensed Practical Nurse in Shaker Heights, OH. Individual provider (NPI-1).
NPI number1174770366
StatusActive
Last updated in NPPESAug 19, 2008
Details
- NPI
- 1174770366
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracey Alexandria Woolley
- Credential
- lpn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2008
- Last updated
- Aug 19, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 130122 | OH | Yes |
Practice location
3425 Daleford RdShaker Heights, OH 44120-3461
Phone 216-496-4950
Mailing address
3425 Daleford RdShaker Heights, OH 44120-3461
Phone 216-496-4950
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Licensed Practical Nurse providers in Shaker Heights · All 1,173 providers in Shaker Heights
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