TRACY BRIDGES (NPI# 1689212839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689212839 |
| Entity Type | Individual |
| Full Name | TRACY BRIDGES |
| Credential | RN |
| Practice Address |
1161 E Covina Blvd Covina CA 91724-1523 |
| Practice Telephone | 6269661632 |
| Mailing Telephone | 6269661632 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
793676 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386749117 | Tracy Alan Bridges | Allergy & Immunology | 105 Spanish Crt, Albany, GA 31707 | 2006-09-14 |
| 1730728130 | Tracy Lynn Bridges Sr. | Counselor | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2020-01-02 |
| Street Address |
1161 E COVINA BLVD |
| City | COVINA |
| State | CA |
| Zip Code | 91724-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934114 | Aurora Charter Oak-los Angeles, LLC | Psychiatric Hospital | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2006-04-27 |
| 1154930212 | Stephanie M Eiland | Nurse Practitioner | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-07-24 |
| 1386267557 | Tanika Denise Johnson | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-05-22 |
| 1215560339 | Mimi Mangune | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-02-17 |
| 1376176883 | Louise Marie Clinton | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-02-13 |
| 1740812353 | Rhonda Michelle Ulibarri | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-02-11 |
| 1588294839 | Teresa Warner | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-24 |
| 1164052668 | Maria De Paz Lacson | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-23 |
| 1770113409 | Carlos Brito | Licensed Psychiatric Technician | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-22 |
| 1659910768 | Louella Reyes Paglinawan | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560339 | Mimi Mangune | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-02-17 |
| 1376176883 | Louise Marie Clinton | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-02-13 |
| 1164052668 | Maria De Paz Lacson | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2020-01-23 |
| 1093354086 | Andrea Bujanda Pangan | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-12-23 |
| 1316585359 | Isagani Nazareno | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-12-19 |
| 1083252142 | Justin Fenton | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-12-19 |
| 1568000693 | Sheila Ann Maples | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-12-19 |
| 1033753033 | Nichelle Hernds | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-11-01 |
| 1437708229 | Roseline Modupe Afolayan | Registered Nurse | 1161 E Covina Blvd, Covina, CA 91724-1523 | 2019-09-05 |
| 1225685258 | Cristina Rusu | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-08-23 |
| Find all providers in COVINA | ||||
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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.