TRACY LYNN LANDRY (NPI# 1033619309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033619309 |
| Entity Type | Individual |
| Full Name | TRACY LYNN LANDRY |
| Practice Address |
1180 Third Ave Ste C3 Chula Vista CA 91911-3139 |
| Mailing Address |
1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 |
| Practice Telephone | 6196918164 |
| Practice Fax Number | 6194262359 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245695659 | Tracy Landry | Social Worker | 2626 Charles Dr, Chalmette, LA 70043 | 2015-12-30 |
| 1700820032 | Tracy Landry | Physician Assistant | 115 Lincoln St, Framingham, MA 01702-6358 | 2006-06-16 |
| Street Address |
1180 THIRD AVE STE C3 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851835763 | Carrie Lynn Rose | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2016-12-12 |
| 1407454697 | Adriana Elena Tisdale | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2020-10-11 |
| 1205447570 | Ruthann Weber | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2020-08-11 |
| 1316584246 | Toni Annette Evans Pryor | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-12-10 |
| 1710521547 | Karina Esparza | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-11-05 |
| 1679121677 | Anthony Joseph Perez | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-09-03 |
| 1447810353 | Dominique Noelle Macias | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-06-13 |
| 1942869011 | Serena Adriana Clark | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-06-11 |
| 1174186373 | Kimberly Joan Glaser | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-04-15 |
| 1700344199 | Alvina Helena Carter | Counselor | 1180 Third Ave Ste C3, Chula Vista, CA 91911-3139 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288088 | Rhett Creel | Counselor | 1172 Third Ave Ste D, Chula Vista, CA 91911-3116 | 2020-06-01 |
| 1841848157 | Leanna Marie Amundson | Counselor | 1180 3rd Ave Ste C3c4, Chula Vista, CA 91911-3139 | 2019-08-29 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1568924884 | Irene Merritt | Counselor | 1172 Third Ave Ste D1, Chula Vista, CA 91911-3116 | 2019-04-04 |
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1053887414 | Javier A Ballesteros | Counselor | 1095 Bay Blvd, Chula Vista, CA 91911-1648 | 2018-10-23 |
| 1942704051 | Elias Khathori Najor | Counselor | 1180 Third Ave Ste 3, Chula Vista, CA 91911-3139 | 2018-03-22 |
| 1033610035 | Sadie Marie Callanan | Counselor | 1180 Third Ave, Chula Vista, CA 91911-3139 | 2018-02-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on TRACY LYNN LANDRY.
| 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.