TRACIE MARIE DEMARCO (NPI# 1366773061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366773061 |
| Entity Type | Individual |
| Full Name | TRACIE MARIE DEMARCO |
| Other Name | TRACIE MARIE WALSH |
| Credential | FNP |
| Practice Address |
3946 Norwood Ave Sacramento CA 95838-3300 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 9165640521 |
| Practice Fax Number | 8778602907 |
| Mailing Telephone | 9165640521 |
| Mailing Fax Number | 8778602907 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 19440 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
19440 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P01453311-DV5277 | 01 |
| CA | RAILROAD MEDICARE-DS9933 | P01392649 | 01 |
| Street Address |
3946 NORWOOD AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713240 | Dennie L Schultheis | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2005-07-12 |
| 1932663192 | Wellspace Health | Clinic/Center | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2019-01-22 |
| 1497235634 | Linda Ifeoma Okwu | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2018-08-17 |
| 1487109955 | Esohe Abel Omoruyi | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2016-08-24 |
| 1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
| 1235542408 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2014-06-05 |
| 1013348507 | Valerie O. Ajiduah | Physician Assistant | 3946 Norwood Ave, Sacramento, CA 95838-1092 | 2013-12-09 |
| 1619315231 | Thanh Ha | Nurse Practitioner | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2013-06-05 |
| 1013297498 | Megan Lorene Brown | Counselor | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2011-08-17 |
| 1053555029 | Jean Gregory Howell | Family Medicine | 3946 Norwood Ave, Sacramento, CA 95838 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| 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 |
|---|---|---|---|---|
| 1396342366 | Chelsea Hallford-reese | Nurse Practitioner | 5432 Leader Ave, Sacramento, CA 95841-2312 | 2020-10-02 |
| 1033749270 | Bernice Tan | Nurse Practitioner | 570 Bercut Dr, Sacramento, CA 95811-0105 | 2020-01-15 |
| 1669946687 | Erin Blaise | Nurse Practitioner | 100 Howe Ave Ste 240n, Sacramento, CA 95825-8214 | 2019-01-12 |
| 1356818819 | Joshua Naeger | Nurse Practitioner | 8715 Center Pkwy, Sacramento, CA 95823-7921 | 2018-11-01 |
| 1346716941 | Sarah Marie Woods | Nurse Practitioner | 3814 Auburn Blvd Ste 72, Sacramento, CA 95821-2123 | 2018-10-22 |
| 1629543343 | Manraj Kaur Sandhu | Nurse Practitioner | 1508 Alhambra Blvd # 200, Sacramento, CA 95816-6510 | 2018-10-09 |
| 1417432147 | Janette Bajo | Nurse Practitioner | 2725 Capitol Ave Dept 304, Sacramento, CA 95816-6006 | 2018-09-27 |
| 1356876981 | Sukhraj Mann | Nurse Practitioner | 2984 Muttonbird Way, Sacramento, CA 95834-2623 | 2017-04-20 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| 1083169908 | Joshua Reza Khoshsefat | Nurse Practitioner | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2016-08-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
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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.