TRACEY J JOHNSON (NPI# 1053410571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053410571 |
| Entity Type | Individual |
| Full Name | TRACEY J JOHNSON |
| Credential | NP |
| Practice Address |
3 Medical Plaza Dr #260 Roseville CA 95661-3087 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167737977 |
| Practice Fax Number | 9167737979 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP6930 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN358159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1932752474 | Tracey Raeanne Vannette Johnson | Case Manager/Care Coordinator | 120 Meadowville Rd, Chester, VA 23836-2622 | 2019-07-23 |
| 1124528948 | Tracey Lynn Johnson | Social Worker | 284 Carlton Ave Apt 1, Brooklyn, NY 11205-4619 | 2018-02-19 |
| 1700246873 | Tracey Johnson | Early Intervention Provider Agency | 12410 S Aberdeen St, Calumet Park, IL 60827-5806 | 2016-03-02 |
| 1821245754 | Tracey Renae Johnson | Pharmacist | 108 W Hendry St, Hinesville, GA 31313-3232 | 2008-08-21 |
| 1063605749 | Tracey E. Johnson | Counselor | 2304 Rogate Cir, 303, Baltimore, MD 21244-5736 | 2007-08-25 |
| 1124168877 | Tracey L Johnson | Counselor | 6009 Squire Ct, #1, Memphis, TN 38115-3226 | 2007-02-08 |
| 1710024971 | Tracey L Johnson | Counselor | 1307 College St Se, Lacey, WA 98503-2332 | 2007-01-30 |
| 1659621423 | Tracey Johnson | Massage Therapist | 618 4th Ave, Suite 208, Bethlehem, PA 18018-5575 | 2012-09-19 |
| 1578828281 | Tracey Crew Johnson | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-07-09 |
| Street Address |
3 MEDICAL PLAZA DR #260 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094475 | Douglas Hight | Podiatrist | 3 Medical Plaza Dr, Suite 110, Roseville, CA 95661-3087 | 2005-06-27 |
| 1801210539 | Igor Shkuratov | Occupational Therapist | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2014-02-17 |
| 1649570649 | Karen E Demarco | Occupational Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2010-10-25 |
| 1629399126 | Stephanie A Austin | Otolaryngology | 3 Medical Plaza Dr, #220, Roseville, CA 95661-3087 | 2010-06-18 |
| 1982920401 | Kim David O. Canlas | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2010-04-08 |
| 1871721654 | Douglas Ocampo Canlas II | Internal Medicine | 3 Medical Plaza Dr, Suite 140, Roseville, CA 95661-3087 | 2009-06-30 |
| 1043448533 | Hossein Mirheydar | Urology | 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661-3087 | 2009-06-23 |
| 1336380286 | Carolina Raveau Alvayay | Urology | 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661-3087 | 2009-03-23 |
| 1114182920 | Linda J Sheu | Dermatology | 3 Medical Plaza Dr, Suite 230, Roseville, CA 95661-3087 | 2008-07-21 |
| 1902068232 | Heather D Van Horn | Physical Therapy Assistant | 3 Medical Plaza Dr, Suite 100, Roseville, CA 95661-3087 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282667 | Anne Marie Mudrinich | Nurse Practitioner | 508 Gibson Dr Ste 220, Roseville, CA 95678-5796 | 2019-05-30 |
| 1528356003 | In Home Health, LLC | Nurse Practitioner | 2685 Long Lake Road; Suite 105, Heartland Home Health Care and Hospice, Roseville, MN 55113-1117 | 2011-07-18 |
| 1841423449 | Victoria Flower | Nurse Practitioner | 151 N Sunrise Ave Ste 611, Roseville, CA 95661-2926 | 2009-08-29 |
| 1962493460 | Linda W Budd | Nurse Practitioner | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2005-11-02 |
| 1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
| 1255930426 | Jennifer E Croft | Nurse Practitioner | 18223 E 10 Mile Rd Ste 100, Roseville, MI 48066-5821 | 2020-10-20 |
| 1548882012 | Benjamin Pearce | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2020-05-07 |
| 1316587421 | Grace Lozada Quiogue | Nurse Practitioner | 18223 E 10 Mile Rd Ste 100, Roseville, MI 48066-5821 | 2020-01-07 |
| 1821561267 | Herma Joey Echavez Bag-ao | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2019-01-08 |
| 1871005124 | Maria Elena Schell | Nurse Practitioner | 2510 Douglas Blvd Ste 200, Roseville, CA 95661-3301 | 2017-10-26 |
| Find all providers in ROSEVILLE | ||||
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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.