TRACI RAE ALDRIDGE (NPI# 1750468138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750468138 |
| Entity Type | Individual |
| Full Name | TRACI RAE ALDRIDGE |
| Other Name | TRACI INNES |
| Credential | WHNP |
| Practice Address |
11209 N. Tatum Blvd Suite 255 Phoenix AZ 85028 |
| Practice Telephone | 6024945050 |
| Practice Fax Number | 6028899140 |
| Mailing Telephone | 6024945050 |
| Mailing Fax Number | 6028899140 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP2549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
TAP2549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ONE YEAR WHNP LICENSURE | TAP2549 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619187358 | Traci M. Aldridge | Social Worker | 201 Independence, Building 1100, Ste. 235, Columbus, MS 39710-5300 | 2007-05-23 |
| Street Address |
11209 N. TATUM BLVD SUITE 255 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053567115 | Audrey Steinkamp | Nurse Practitioner | 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1437442076 | Mary Franice Dunn | Nurse Practitioner | 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 | 2011-05-16 |
| 1831418763 | Pamela Barbour Peat | Nurse Practitioner | 3125 N 32nd St Ste 200, Phoenix, AZ 85018-6218 | 2010-05-17 |
| 1851505887 | Jennifer Spiser Woodruff | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2007-05-09 |
| 1679793780 | Sherry Lee Gorslin | Nurse Practitioner | 9303 N 7th St, Ste 4, Phoenix, AZ 85020 | 2007-04-30 |
| 1497876056 | Bonnie Rose Hare | Nurse Practitioner | 1661 E. Camelback Road, Ste 160, Phoenix, AZ 85016 | 2007-04-02 |
| 1538190269 | Debra Laseter | Nurse Practitioner | 2255 N 44th St, Suite #200, Phoenix, AZ 85008-3293 | 2006-07-05 |
| 1588665061 | Joyce Morgan | Nurse Practitioner | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2005-08-09 |
| 1174520100 | Denise L Mcminn | Nurse Practitioner | 8410 W Thomas Rd, Ste 134, Phoenix, AZ 85037-3329 | 2005-07-05 |
| Find all providers in PHOENIX | ||||
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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.