Tracey L. Harbert
Pathology (Anatomic Pathology & Clinical Pathology)

Address: 1124 Columbia St, Suite 200, Seattle, WA 98104-2026
Phone: 2065766050

Tracey L. Harbert (NPI# 1215165394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215165394
Entity Type Individual
Full Name Tracey L. Harbert
Credential M.D.
Gender Female
Practice Address 1124 Columbia St
Suite 200
Seattle
WA 98104-2026
Practice Telephone 2065766050
Practice Fax Number 2062155935
Mailing Address 1124 Columbia St
Suite 200
Seattle
WA 98104-2026
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-06-26
Last Update Date 2016-04-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207ZP0102X Pathology · Anatomic Pathology & Clinical Pathology Allopathic & Osteopathic Physicians MD60550691 WA

Other Provider Identifier

State Identifier Issuer Type Code
MN ENROLLED MEDICAID
IA ENROLLED MEDICAID

Physician Overview

NPI 1215165394
PAC ID by PECOS 5496997454
Professional Enrollment ID I20150720000867
Full Name Tracey L Harbert
Organization Legal Name CELLNETIX PATHOLOGY PLLC
Phone Number 2063862676
Gender F
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 2009
Primary Specialty PATHOLOGY
Group Practice PAC ID 8224062971
Number of Group Practice Members 63
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500024 PROVIDENCE ST PETER HOSPITAL
500139 CAPITAL MEDICAL CENTER
500019 PROVIDENCE CENTRALIA HOSPITAL
500031 GRAYS HARBOR COMMUNITY HOSPITAL
501336 MASON GENERAL HOSPITAL & FAMILY OF CLINICS

Office Location

Street Address 1124 COLUMBIA ST
SUITE 200
City SEATTLE
State WA
Zip Code 98104-2026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265461099 Milah B Frownfelter Internal Medicine 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 2006-07-02
1801383674 Troy Azuogu Specialist/Technologist 1124 Columbia St, Seattle, WA 98104-2026 2018-04-17
1184140246 Bespoke Treatments Seattle Pt Pllc Physical Therapist 1124 Columbia St, Seattle, WA 98104-2026 2017-08-20
1720521933 Leslie Sutton Lee Dietitian, Registered 1124 Columbia St, Ste 400, Seattle, WA 98104-2053 2016-11-21
1720531197 Rebecca A Lundborg Dietitian, Registered 1124 Columbia St, Suite 600, Seattle, WA 98104-2026 2016-08-02
1376908954 Seattle Medical Associates Pllp Internal Medicine 1124 Columbia St, Suite 620, Seattle, WA 98104-2026 2015-12-23
1629406525 Jennifer Strumolo Physician Assistant 1124 Columbia St, Ste 400, Seattle, WA 98104-2026 2013-10-31
1972948115 Min Kyung Lyou Nurse Practitioner 1124 Columbia St, Ste 600, Seattle, WA 98104-2046 2013-05-01
1851667919 Meghan J Driscoll Pathology 1124 Columbia St, Seattle, WA 98104 2012-03-22
1407149792 Steven Carl Quay Pathology 1124 Columbia St, Suite 621, Seattle, WA 98104-2026 2011-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
1225540545 Mary Elizabeth Micikas Registered Nurse 515 Minor Ave Ste 170, Seattle, WA 98104 2017-10-26
1033629506 Ashley Negron Registered Nurse Harborview Center for Sexual Assault and Tramautic Stre, 401 Broadway Suite 2075, Seattle, WA 98104 2017-10-10
1770018889 Alison S Bae Student in an Organized Health Care Education/Training Program 325 9th Ave, Mail Stop #359796, 7th Floor Center Tower Room 73.1, Seattle, WA 98104 2017-04-26
1083155329 Seatle Medical Supplies Durable Medical Equipment & Medical Supplies 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 2017-03-20
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316367857 Paul Dennis Simonson Pathology Uwmc Anatomic Pathology, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 2014-04-23
1629413109 Paula Marie Jenkins Colon Pathology Uw Medicine Pathology 1959 Ne Pacific St, Box 357470, Seattle, WA 98195-0001 2013-05-09
1427314665 Claire E Murphy Pathology 1959 Ne Pacific Box 356100, Uwmc Anatomic Pathology, Seattle, WA 98195-0001 2012-04-02
1801190186 Malcolm Scott Stirton Pathology 6347 Beach Dr Sw, Seattle, WA 98136-1351 2010-12-31
1063730745 Bup-jong Jennifer Kum Pathology 1124 Columbia St # 8320, Seattle, WA 98104 2010-05-05
1770727638 John Dallas Scarborough Pathology University of Washington Pathology Residency, 1959 Ne Pacific, Box 356100, Seattle, WA 98195-0001 2009-04-22
1689866501 Sandra L White Pathology 1001 Sw Klickitat Way Ste 205, Psip, Seattle, WA 98134-1161 2007-08-14
1003963950 Erin Rudzinski Pathology 4800 Sandpoint Way Ne, A6901, Department of Laboratories, Seattle, WA 98105 2007-01-04
1164500526 Thomas Joseph Lawton Pathology 218 E Boston St, Seattle, WA 98102-3518 2006-11-02
1992818967 Sandra D Bohling Pathology 551 N 34th St, Suite #100, Seattle, WA 98103-8675 2006-08-16
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City SEATTLE
Zip Code 98104

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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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