TRACY BACCHUS


Address: 2 Medical Plaza Dr, Ste 235, Roseville, CA 95661-3043
Phone: 9167821291

TRACY BACCHUS (NPI# 1528239175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528239175
Entity Type Individual
Full Name TRACY BACCHUS
Practice Address 2 Medical Plaza Dr
Ste 235
Roseville
CA 95661-3043
Mailing Address 1111 Exposition Blvd
Bldg 700
Sacramento
CA 95815-4300
Practice Telephone 9167821291
Practice Fax Number 9167825992
Mailing Telephone 9167363399
Mailing Fax Number 9162334179
Enumeration Date 2008-03-21
Last Update Date 2009-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist AU2526 CA Speech, Language and Hearing Service Providers
N 237600000X Audiologist-Hearing Aid Fitter HA7250 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 2 MEDICAL PLAZA DR
STE 235
City ROSEVILLE
State CA
Zip Code 95661-3043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336142009 Randall A Ow Otolaryngology 2 Medical Plaza Dr, Ste 225 & 235, Roseville, CA 95661-3043 2005-05-24
1568865962 Zia A Dehqanzada Md Apc Surgery 2 Medical Plaza Dr, #275, Roseville, CA 95661-3043 2014-09-30
1255751608 Kristie L Howlett Nurse Practitioner 2 Medical Plaza Dr, Suite 200, Roseville, CA 95661-3043 2014-04-24
1831529668 Kristi Stewart Social Worker 2 Medical Plaza Dr, Suite 200, Roseville, CA 95661-3043 2013-11-14
1295016632 Adam Charles Pace Family Medicine 2 Medical Plaza Dr, Suite 130, Roseville, CA 95661-3043 2011-08-30
1154632057 Ted I Brindle Neurological Surgery 2 Medical Plaza Dr, Suite 205, Roseville, CA 95661-3043 2010-06-24
1598080053 Erica Ayami-sato Byrd Psychiatry & Neurology 2 Medical Plaza Dr, Ste 205, Roseville, CA 95661 2010-03-28
1073747663 Tim Fife Otolaryngology 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3043 2009-05-11
1770758617 Rajeswari Chellappah Internal Medicine 2 Medical Plaza Dr, Suite 200, Roseville, CA 95661-3043 2008-04-22
1669643052 David Daniel Brockman Internal Medicine 2 Medical Plaza Dr, #175, Roseville, CA 95661-3043 2008-03-13
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952654923 Connect Hearing, Inc. Audiologist 807 Douglas Blvd, Ste 100, Roseville, CA 95678-2762 2012-10-16
1306119623 Whisper Hearing Center Inc Audiologist 1850 Douglas Blvd Ste 992, Roseville, CA 95661-3639 2012-02-16
1669538336 Karen Anne Dettman Audiologist 2120 Professional Dr Ste 220, Roseville, CA 95661-3700 2006-12-28
1154421147 Roselynn G Young Audiologist 1411 Secret Ravine Pkwy Ste 120, Roseville, CA 95661-6042 2006-09-22
1093751356 Laura Anne Morrison Audiologist 1745 Lexington Ave N, Roseville, MN 55113-6522 2006-06-22
1891341509 Aimee Ellesse Paredez Audiologist 1600 Eureka Rd, Roseville, CA 95661-3027 2019-08-18
1881255818 Jasmine Monet Zavala Audiologist 1600 Eureka Rd, Roseville, CA 95661-3027 2019-06-20
1437630282 Kristina M Anaya Audiologist 2120 Professional Dr Ste 220, Roseville, CA 95661-3700 2018-08-28
1770062416 Langathani Siziba Audiologist 1600 Eureka Rd, Roseville, CA 95661-3027 2018-08-13
1952823585 Kaitlin Paige Leggins Audiologist 2120 Professional Dr, Roseville, CA 95661-3700 2017-07-14
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95661

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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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