TRACY TRAVINA BENNETT (NPI# 1285243444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285243444 |
| Entity Type | Individual |
| Full Name | TRACY TRAVINA BENNETT |
| Credential | RN |
| Practice Address |
10762 Wilson Ave Alta Loma CA 91737-2436 |
| Mailing Address |
140 Harvard Ave Unit 1736 Claremont CA 91711-7180 |
| Practice Telephone | 9093222081 |
| Mailing Telephone | 9093222081 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
511336 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548741895 | Tracy Lynne Bennett | Nurse Practitioner | 6262 Highway 316 S, Marvell, AR 72366-9439 | 2018-08-24 |
| 1811379332 | Tracy Lynn Bennett | Nurse Practitioner | 3281 Kessock Ridge Trl, Snellville, GA 30039-3112 | 2015-06-20 |
| 1285790360 | Tracy S Bennett | Psychologist | 340 Rosewood Ave, Camarillo, CA 93010-5927 | 2006-12-31 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1457560419 | Tracy M Bennett | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2007-05-22 |
| 1487869210 | Tracy W Bennett | Counselor | 95 India St, Portland, ME 04101-4250 | 2007-05-14 |
| Street Address |
10762 WILSON AVE |
| City | ALTA LOMA |
| State | CA |
| Zip Code | 91737-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077889 | Nancy M Yani | Pharmacist | 10431 Lemon Ave Suite G, Rancho Cucamonga, CA 91737 | 2019-08-08 |
| 1497219208 | Karen Shigenaka | Counselor | 4964 Klusman Avenue, Rancho Cucamonga, CA 91737 | 2019-01-25 |
| 1255863700 | Gabriell Marie Leon | Marriage & Family Therapist | 6593 Mesada St, Rancho Cucamonga, CA 91737 | 2017-04-03 |
| 1164767844 | Andrew Addy | Durable Medical Equipment & Medical Supplies | 10757 Lemon Avenue, Suite 1224, Rancho Cucamonga, CA 91737 | 2012-12-06 |
| 1871713842 | Julia Eileen Brown | Dentist | 6331 Haven Blvd #12, Rancho Cucamonga, CA 91737 | 2007-05-01 |
| 1518080597 | Irene Malavika Justin | Dentist | 10186 Monaco Pl, Ranchocucamonga, CA 91737 | 2007-04-06 |
| 1619473154 | Haven Elite Urgent Care | Clinic/Center | 6417 Haven Ave Ste 110, Rancho Cucamonga, CA 91737 | 2018-04-03 |
| 1245509165 | Bill Chan | Pharmacist | 6400 Haven Ave, Rancho Cucamonga, CA 91737 | 2011-12-21 |
| 1841818747 | Wtfootcare, Professional Physician Assistant Corporation | Physician Assistant | 8972 Appaloosa Ct, Rancho Cucamonga, CA 91737-1401 | 2020-07-08 |
| 1780166595 | Stanley Mwaura | Registered Nurse | 8914 Whirlaway Ct, Rancho Cucamonga, CA 91737-1417 | 2018-08-29 |
| Find all providers in zip 91737 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190803 | Ma Adelver Quinitio Martin | Registered Nurse | 5912 Lomond Dr, San Diego, CA 92120-4541 | 2020-09-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
| 1811523269 | Margaret L Martin | Registered Nurse | 2150 Filbert St, San Francisco, CA 94123-3413 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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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.