MRS. TRACY LE HENRY (NPI# 1295249225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295249225 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LE HENRY |
| Credential | FNP |
| Practice Address |
630 S Raymond Ave Pasadena CA 91105-3278 |
| Mailing Address |
620 Houseman St La Canada Flintridge CA 91011-2638 |
| Practice Telephone | 6265840026 |
| Mailing Telephone | 3109025364 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
65007673 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720487317 | Tracy Henry | Massage Therapist | 1263 National Pike, Hopwood, PA 15445 | 2014-08-19 |
| 1689718843 | Tracy L Henry | Speech-Language Pathologist | 452 S Springfield Ave, Bolivar, MO 65613-2146 | 2007-02-19 |
| 1912968462 | Tracy Henry | Physical Therapist | 5100 W Taft Rd, Suite 2k, Liverpool, NY 13088-3807 | 2006-03-31 |
| Street Address |
630 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014750 | Mary A Mioux Berry | Physical Medicine & Rehabilitation | 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | 2005-06-27 |
| 1316493737 | Asa Maria Albecz | Technician, Other | 630 S Raymond Ave, #310, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1023564481 | Neurologicinc | Specialist/Technologist, Other | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1720475825 | Neuro-rehab Consultation & Treatment Services | Psychologist | 630 S Raymond Ave, #340, Pasadena, CA 91105-3278 | 2015-04-16 |
| 1215365747 | Roxanne Prilutsky, Ph.d., A Psychology Corporation | Psychologist | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-10-18 |
| 1467897322 | West Coast Neurology | Psychiatry & Neurology | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-05-06 |
| 1588943682 | Southern California Glaucoma Consultants Medical Group | Ophthalmology | 630 S Raymond Ave, 230, Pasadena, CA 91105-3278 | 2011-08-08 |
| 1376867309 | Valley Diagnostic Imaging Medical Group Inc | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-03-19 |
| 1033431127 | Imaging Specialist of Pasadena LLC | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-02-17 |
| 1245561752 | Elisa C Alvarado Md Inc | Internal Medicine | 630 S Raymond Ave, Suite 340, Pasadena, CA 91105-3278 | 2010-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092504 | Kyle Kettle | Nurse Practitioner | 5030 Crenshaw Rd Ste 120, Pasadena, TX 77505-3141 | 2020-10-30 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1891394953 | Tammy Jean Bobbitt-gray | Nurse Practitioner | 10801 Choate Rd, Pasadena, TX 77507-1503 | 2020-10-20 |
| 1467067447 | Lizette Cabral | Nurse Practitioner | 1144 N Mentor Ave, Pasadena, CA 91104-3824 | 2020-09-15 |
| 1679188304 | Kimberly Yam | Nurse Practitioner | 1575 N Lake Ave Ste 208, Pasadena, CA 91104-2340 | 2020-09-10 |
| 1215569785 | Kristine Elizabeth Chesney | Nurse Practitioner | 1288 Holmespun Dr, Pasadena, MD 21122-2578 | 2020-02-12 |
| 1598304958 | Sophia A Phillip | Nurse Practitioner | 65 N Madison Ave Ste 800, Pasadena, CA 91101-2038 | 2020-01-03 |
| 1831748359 | Altagracia Garza | Nurse Practitioner | 908 Southmore Ave Ste 130, Pasadena, TX 77502-1100 | 2019-09-06 |
| 1548817919 | Ansela Chaluparambil | Nurse Practitioner | 3326 Watters Rd Bldg D, Pasadena, TX 77504-2053 | 2019-08-21 |
| 1972155828 | Michelle Elizabeth Hinkey | Nurse Practitioner | 8109 Ritchie Hwy # 100, Pasadena, MD 21122-6917 | 2019-07-11 |
| Find all providers in PASADENA | ||||
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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.