TRACY ANN PRESTON (NPI# 1255630398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255630398 |
Entity Type | Individual |
Full Name | TRACY ANN PRESTON |
Credential | FNP |
Practice Address |
1543 W 8th St San Bernardino CA 92411-2566 |
Mailing Address |
400 N Pepper Ave Medical Office Building Colton CA 92324-1801 |
Practice Telephone | 9094228029 |
Mailing Telephone | 9095801000 |
Mailing Fax Number | 5805803332 |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20611 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043445661 | Tracy Hartselle Preston | Physical Therapy Assistant | 1400 6th Ave. South, Birmingham, AL 35233 | 2009-05-27 |
Street Address |
1543 W 8TH ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92411-2566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
Find all providers in zip 92411 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205378437 | Tristar Home Visit Providers Inc | Nurse Practitioner | 275 W Hospitality Ln Ste 103a, San Bernardino, CA 92408-3238 | 2016-11-04 |
1801282074 | Andrea Wade | Nurse Practitioner | 351 N Mountain View Ave Fas, San Bernardino, CA 92415-3115 | 2015-04-14 |
1912396201 | Eric Eschweiler | Nurse Practitioner | 590 N D St, San Bernardino, CA 92401-1352 | 2015-01-09 |
1437551561 | Priscilla Naamomo Otubuah | Nurse Practitioner | 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3316 | 2014-09-19 |
1851729768 | Mercy Manaen | Nurse Practitioner | 164 W Hospitality Ln # 100, San Bernardino, CA 92408 | 2013-10-31 |
1841628930 | Sarita Shivakoti | Nurse Practitioner | 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404-4811 | 2013-10-29 |
1841584778 | Sheryl Lee O. De La Cruz | Nurse Practitioner | 1850 S Waterman Ave Ste D, San Bernardino, CA 92408-2852 | 2011-06-08 |
1982905410 | Dr Ruth Tanyi, Inc | Nurse Practitioner | 577 N D St Ste 101, San Bernardino, CA 92401-1326 | 2010-11-15 |
1639382773 | Cathy Sampson-siriani | Nurse Practitioner | 3704 Canyon Terrace Dr, 9680 Citrus Ave, Blgd#33 Fontana, Ca 92335, San Bernardino, CA 92407-4106 | 2007-05-07 |
1851516538 | Sandra Peeke | Nurse Practitioner | 1873 Commercenter W, San Bernardino, CA 92408-3303 | 2007-04-16 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92411 |
Please comment or provide details below to improve the information on TRACY ANN PRESTON.
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.