MRS. CEILY TRACEY DAVIS (NPI# 1053473694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053473694 |
| Entity Type | Individual |
| Full Name | MRS. CEILY TRACEY DAVIS |
| Credential | PNP |
| Practice Address |
7275 E Southgate Dr Ste 306 Sacramento CA 95823-2631 |
| Mailing Address |
430 Western Hills Dr Rio Vista CA 94571-2195 |
| Practice Telephone | 9164226635 |
| Mailing Telephone | 9162063281 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
16863 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7275 E SOUTHGATE DR STE 306 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669946885 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 7275 E Southgate Dr Ste 306, Sacramento, CA 95823-2631 | 2019-01-22 |
| 1639666555 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 7275 E Southgate Dr Ste 306, Sacramento, CA 95823-2631 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1598005779 | Stefani Romo Danch | Nurse Practitioner | 1625 Stockton Blvd. #112, Sacramento, CA 95816-3228 | 2013-02-25 |
| 1720393101 | Hannah Choi | Nurse Practitioner | 5609 J St Ste C, Sacramento, CA 95819-3957 | 2010-08-10 |
| 1952560641 | Teresa Christine Rodriguez-wargo | Nurse Practitioner | 5271 F St Bldg C, Sacramento, CA 95819-3225 | 2008-06-06 |
| 1174799464 | Deborah Ann Davidson Woods | Nurse Practitioner | 2279 45th St Ste 1246, Sacramento, CA 95817-1514 | 2008-05-06 |
| 1588635775 | Susan Lynne Caffery | Nurse Practitioner | 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816-7053 | 2006-01-27 |
| 1205811536 | Janet E Pitcher | Nurse Practitioner | 4860 Y St Ste 100, Child Neurology, Sacramento, CA 95817-2307 | 2005-12-09 |
| 1962010793 | Alexandria Doyle | Nurse Practitioner | 2825 Capitol Ave, Attn Nursing Administration, Sacramento, CA 95816 | 2020-07-17 |
| 1891340360 | Crystal S Deng | Nurse Practitioner | 1500 21st St, Sacramento, CA 95811-5216 | 2019-08-01 |
| 1801318860 | Jennifer Chen | Nurse Practitioner | 650 Howe Ave Ste 100, Sacramento, CA 95825-4732 | 2017-07-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MRS. CEILY TRACEY DAVIS.
| 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.