MRS. TRACI SUE CLAY (NPI# 1598918229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598918229 |
| Entity Type | Individual |
| Full Name | MRS. TRACI SUE CLAY |
| Credential | LVN LL |
| Practice Address |
1716 Court St Redding CA 96001-1762 |
| Practice Telephone | 5302232332 |
| Mailing Telephone | 5302232332 |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | VN 210613 | CA | Nursing Service Providers |
| Street Address |
1716 COURT ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656999 | Arcadia Health Care | Nursing Care | 1716 Court St, Suite B, Redding, CA 96001-1762 | 2011-10-19 |
| 1487934014 | Beatrice Madeleine Champney | Registered Nurse | 1716 Court St, Suite B, Redding, CA 96001-1762 | 2011-08-26 |
| 1043465024 | Robin Suzanne Hauprich | Registered Nurse | 1716 Court St, Redding, CA 96001-1762 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649649658 | Sarah Wilson | Licensed Practical Nurse | 9408 Placer Rd, Redding, CA 96001-9709 | 2015-09-20 |
| 1225313463 | Nichole Katrina Stark | Licensed Practical Nurse | 2640 Breslauer Way, Redding, CA 96001-4246 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
| 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.