MALLORY TRACY PASCAL (NPI# 1467868836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467868836 |
| Entity Type | Individual |
| Full Name | MALLORY TRACY PASCAL |
| Credential | FNP |
| Practice Address |
21507 E Cliff Dr Santa Cruz CA 95062-4844 |
| Mailing Address |
125 Water St Ste A2 Santa Cruz CA 95060-2786 |
| Practice Telephone | 8314273500 |
| Mailing Telephone | 8314273500 |
| Mailing Fax Number | 8314277785 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000771 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21507 E CLIFF DR |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367548 | Rebecca Marie Breton | Pediatrics | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2005-09-26 |
| 1659934909 | Lourdes Rocio Diaz Knapp | Registered Nurse | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2019-04-22 |
| 1922661453 | Monet Mailloux | Registered Nurse | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2019-04-19 |
| 1346723087 | Nadia Allami | Nurse Practitioner | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2018-09-10 |
| 1568902989 | Audrey Huang | Registered Nurse | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2017-03-04 |
| 1215380027 | Marco Antonio Flores | Registered Nurse | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2016-07-16 |
| 1962853721 | Dillon Myers | Family Medicine | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2016-06-23 |
| 1699122077 | Salla Inkeri Hennessy | Family Medicine | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2016-05-16 |
| 1992166839 | Heather C Couch | Nurse Practitioner | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2016-03-18 |
| 1871927764 | Caroline S Engel | Family Medicine | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352306 | Erin B O'connor-thygeson | Nurse Practitioner | 311 Olaughlin Rd, Santa Cruz, CA 95065-9694 | 2020-10-04 |
| 1538621131 | Cynthia Davis | Nurse Practitioner | 5019 Thurber Ln, Santa Cruz, CA 95065-1152 | 2019-04-02 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1205285137 | Melody Cantrell | Nurse Practitioner | 125 Claremont Ter, Santa Cruz, CA 95060-1749 | 2016-06-10 |
| 1437480753 | Rebecca A. Mckenzie | Nurse Practitioner | 303 Potrero St Ste 5a, Santa Cruz, CA 95060-2756 | 2010-01-26 |
| 1407848484 | Anne Rice Davis | Nurse Practitioner | 115 Locust St., Santa Cruz, CA 95062-1323 | 2005-08-17 |
| 1033734900 | Kimberly Elliott | Nurse Practitioner | 1662 Dominican Way, Santa Cruz, CA 95065-1522 | 2020-06-16 |
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1609415728 | Angelika Desimone | Nurse Practitioner | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2020-01-06 |
| 1811542863 | Emma Kathleen Kleck | Nurse Practitioner | 250 Locust St, Santa Cruz, CA 95060-3813 | 2019-08-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
Please comment or provide details below to improve the information on MALLORY TRACY PASCAL.
| 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.