TRACY EIDSON (NPI# 1184995342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184995342 |
| Entity Type | Individual |
| Full Name | TRACY EIDSON |
| Credential | N.P. |
| Practice Address |
210 Hospital Dr Vallejo CA 94589-2517 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 7076457316 |
| Practice Fax Number | 7076450426 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354128 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17990 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 HOSPITAL DR |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992863096 | La Clinica De La Raza Inc | Clinic/Center | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2006-12-04 |
| 1578981916 | Veronica Castillo | Dietitian, Registered | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2014-04-02 |
| 1841587441 | Nadia Sandoval | Counselor | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2011-07-01 |
| 1467755348 | Casey Lynch Myers | Nurse Practitioner | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2010-12-14 |
| 1376876433 | Elisa Singh | Counselor | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2009-09-08 |
| 1114107877 | Jody Linn Daudel | Obstetrics & Gynecology | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2007-11-11 |
| 1578601571 | Anahita Guide Bunce | Obstetrics & Gynecology | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794639 | Humberto Matthew Talmadge | Nurse Practitioner | 3335 Harbor Moon Ct, Vallejo, CA 94591-6331 | 2020-06-15 |
| 1780745208 | Ma. Rosel M. Sigua-chen | Nurse Practitioner | 119 Westport Ln, Vallejo, CA 94591-7256 | 2006-12-12 |
| 1982774774 | Debbie Elizabeth Diaz | Nurse Practitioner | Kaiser Permanente 975 Sereno Dr, Vallejo, CA 94589 | 2006-11-08 |
| 1205891314 | Shelley L Wong | Nurse Practitioner | 100 Hospital Dr Ste 200, Vallejo, CA 94589 | 2006-04-20 |
| 1912996398 | Edwina Lorraine Hanna-reese | Nurse Practitioner | 1860 Landmark Dr, Vallejo, CA 94591-3852 | 2005-10-18 |
| 1962737460 | Marites Less | Nurse Practitioner | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2009-10-16 |
| 1609933746 | Judith Gail Smith | Nurse Practitioner | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-01 |
| 1699837724 | Lisbeth Macdonald | Nurse Practitioner | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-14 |
| 1366521452 | Celeste Jacqueline Laprade | Nurse Practitioner | 975 Sereno Dr, Medicine 7, Vallejo, CA 94589-2441 | 2006-11-02 |
| 1225123243 | Mija Berg | Nurse Practitioner | 243 Georgia Street, Suite B, Vallejo, CA 94590 | 2006-10-04 |
| Find all providers in VALLEJO | ||||
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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.