TRACEY SOPER (NPI# 1033681655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033681655 |
| Entity Type | Individual |
| Full Name | TRACEY SOPER |
| Credential | FNP |
| Practice Address |
245 Washington St Monterey CA 93940-2409 |
| Mailing Address |
Po Box 1345 Carmel By The Sea CA 93921-1345 |
| Practice Telephone | 8313722273 |
| Mailing Telephone | 9044635437 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95010717 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
245 WASHINGTON ST |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842873 | Monterey Peninsula Urgent Care Medical Group Inc | General Practice | 245 Washington St, Monterey, CA 93940-2409 | 2005-12-19 |
| 1154752558 | Kristin Blakely | Physician Assistant | 245 Washington St, Monterey, CA 93940-2409 | 2013-12-10 |
| 1922103118 | Ronald J Villemaire | Family Medicine | 245 Washington St, Monterey, CA 93940-2409 | 2006-09-13 |
| 1528171311 | David Dale Spilker | Emergency Medicine | 245 Washington St, Monterey, CA 93940-2409 | 2006-08-16 |
| 1972570190 | Ellen Mcewen | Family Medicine | 245 Washington St, Monterey, CA 93940-2409 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831755123 | Marie Diez-quinton | Nurse Practitioner | 2 Upper Ragsdale Dr Ste D200, Monterey, CA 93940-7839 | 2019-05-13 |
| 1942620513 | Audrey Mindoro | Nurse Practitioner | 15 Via Chualar, Monterey, CA 93940-2528 | 2014-04-23 |
| 1790814457 | Ree Rene Smith | Nurse Practitioner | 1021 East Commercial Avenue, Monterey, TN 38574 | 2007-03-05 |
| 1356372916 | Roberta Ann Silveira | Nurse Practitioner | 5 Harris Ct Bldg T # 201, Monterey, CA 93940-5750 | 2006-07-05 |
| 1881662112 | Letitia Amirault | Nurse Practitioner | 120 Jackson River Road, Monterey, VA 24465 | 2006-03-11 |
| 1588279293 | Christine Coit Leisek | Nurse Practitioner | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2020-09-10 |
| 1043833262 | Carlie Sanders | Nurse Practitioner | 501 Lighthouse Ave, Monterey, CA 93940-1439 | 2020-05-21 |
| 1154970440 | Kathryn Meiling Free | Nurse Practitioner | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2019-09-09 |
| 1881168714 | Claudia Awamleh | Nurse Practitioner | 5 Lower Ragsdale Dr Ste 100, Monterey, CA 93940-5817 | 2019-01-14 |
| 1457833386 | Keisha Monique Hanson | Nurse Practitioner | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2018-09-06 |
| Find all providers in MONTEREY | ||||
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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.