TRACY MICHELLE GREGORY (NPI# 1346497815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346497815 |
| Entity Type | Individual |
| Full Name | TRACY MICHELLE GREGORY |
| Credential | AODC |
| Practice Address |
6580 Van Nuys Blvd 125 Van Nuys CA 91401-1426 |
| Mailing Address |
13714 Kornblum Ave Apt 9 Hawthorne CA 90250-9501 |
| Practice Telephone | 8189081740 |
| Practice Fax Number | 8189083336 |
| Mailing Telephone | 3106794636 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205128584 | Tracy L Gregory | Counselor | 1606 Sharon Rd W Apt 40, Charlotte, NC 28210-5687 | 2011-05-05 |
| 1285977322 | Tracy D Gregory | Nurse Practitioner | 758 Highway 46 S, Dickson, TN 37055-2556 | 2013-03-27 |
| Street Address |
6580 VAN NUYS BLVD 125 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659401743 | Jignesh G Patel | Dentist | 6580 Van Nuys Blvd, Van Nuys, CA 91401-1426 | 2007-03-07 |
| 1881841336 | Jaime Valladares | Counselor | 6580 Van Nuys Blvd, 125, Van Nuys, CA 91401-1426 | 2008-08-26 |
| 1588811236 | Paul Umukoro | Counselor | 6580 Van Nuys Blvd, 125, Van Nuys, CA 91401-1426 | 2008-08-25 |
| 1134376882 | Amalia Mastrodomenico | Counselor | 6580 Van Nuys Blvd, Van Nuys, CA 91401-1426 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507458 | Melisa M. Tablada | Counselor | 6721 Jellico Ave, Van Nuys, CA 91406-5320 | 2020-01-08 |
| 1376059915 | Erasmus John Knox | Counselor | 14757 Cohasset Street, Van Nuys, CA 91405-1802 | 2017-12-19 |
| 1730636515 | Pearl Pacheco | Counselor | 15803 Saticoy St Apt 30, Van Nuys, CA 91406-3132 | 2016-09-08 |
| 1104244359 | Samuel S. Usher | Counselor | 5724 Stansbury Ave, Van Nuys, CA 91401-2341 | 2014-04-04 |
| 1285050237 | Wm Cody White | Counselor | 15025 Saticoy St, #26, Van Nuys, CA 91405-1110 | 2014-03-14 |
| 1023447059 | Jose Bonilla | Counselor | 6265 Sepulveda, 9, Van Nuys, CA 91411 | 2013-11-12 |
| 1437492352 | Gustavo Mora | Counselor | 14540 Hamlin St Ste I, Van Nuys, CA 91411-4154 | 2013-03-28 |
| 1689913055 | Walter Jason Santos | Counselor | 6218 Atoll Ave, Van Nuys, CA 91401-2525 | 2013-02-05 |
| 1750632485 | Donna May Davis | Counselor | 14515 Hamlin St # 100, Van Nuys, CA 91411 | 2012-09-20 |
| 1669734646 | Erika Isela Gutierrez | Counselor | 14435 Hamlin St., Suite 102, Van Nuys, CA 91401 | 2012-06-14 |
| Find all providers in VAN NUYS | ||||
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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.