MRS. TRACY ROY BLOOM II (NPI# 1699858357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699858357 |
| Entity Type | Individual |
| Full Name | MRS. TRACY ROY BLOOM II |
| Other Name | MS. TRACY CASSANDRA SCHNEIDER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1705 Georgia St Napa CA 94559-1621 |
| Practice Telephone | 7077383637 |
| Mailing Telephone | 7072656852 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 616687 | CA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
14057 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CA131881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257939 | Tracy Bloom | Counselor | 17301 W Colfax Ave Ste 275, Golden, CO 80401-4886 | 2020-08-24 |
| 1982747853 | Tracy A. Bloom | Registered Nurse | 62 Pawnee Dr, Commack, NY 11725-4222 | 2007-02-14 |
| 1396707212 | Tracy James Bloom | Chiropractor | 100 Great Oaks Blvd, Suite 106, Albany, NY 12203-7924 | 2006-04-05 |
| 1386921765 | Tracy Bloom | Counselor | 5413e Backlick Rd, Springfield, VA 22151-3915 | 2011-11-13 |
| Street Address |
1705 GEORGIA ST |
| City | NAPA |
| State | CA |
| Zip Code | 94559-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742156 | Beauregard Story | Dentist | 300 Hartle Court, Napa, CA 94559 | 2019-04-22 |
| 1841771565 | Yadira Rojas | Behavioral Analyst | 249 Jefferson St, Napa, CA 94559 | 2018-08-22 |
| 1497276364 | Nuzhat Sultana | Marriage & Family Therapist | 1303 Jefferson Street Ste 600a, Lorraine Crockford Ma. Lmft, Napa, CA 94559 | 2017-06-30 |
| 1629507983 | Elia Inglis | Social Worker | 2310 First St., Napa, CA 94559 | 2017-06-08 |
| 1164838231 | Nisha Patel | Counselor | 2344 Old Sonoma Road, Napa, CA 94559 | 2014-07-09 |
| 1447687330 | Ole Health | Clinic/Center | 100 Hartle Ct, Napa, CA 94559 | 2013-10-09 |
| 1437597515 | Jenna Leigh Haug | Nutritionist | 1553 Second St., Downstairs Unit, Napa, CA 94559 | 2013-06-11 |
| 1518303817 | Jen Marie Lytle | Counselor | 2261 Elm Street, Building P, Napa, CA 94559 | 2013-05-14 |
| 1598028714 | Angela Rozella Todd | Nurse Practitioner | 1735 Jefferson Street, Napa, CA 94559 | 2012-06-21 |
| 1699075911 | Brian Mcdaniels | Counselor | 2344 Old Sonoma Rd., Building J Room 109, Napa, CA 94559 | 2010-11-02 |
| Find all providers in zip 94559 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457719304 | Shelley Tantau | Nurse Practitioner | 1703 Shasta Ave, Napa, CA 94558-2354 | 2016-02-07 |
| 1114338027 | Northern California Advanced Practice Nursing Services, Inc. | Nurse Practitioner | 2564 Edgewater Dr, Napa, CA 94558-3641 | 2014-05-13 |
| 1144840786 | Nicholas Fiske Keeler | Nurse Practitioner | 1000 Trancas St, Napa, CA 94558-2906 | 2020-04-23 |
| 1801333281 | Ashley Mose | Nurse Practitioner | 3443 Villa Ln Ste 6, Napa, CA 94558-6417 | 2017-01-24 |
| 1972942522 | Kathryn Whiston-lemm | Nurse Practitioner | 3417 Valle Verde Dr, Napa, CA 94558-2414 | 2013-06-17 |
| 1104069020 | Janet M Bruneau | Nurse Practitioner | 1000 Trancas St, Napa, CA 94558-2906 | 2009-04-07 |
| 1265515340 | Stacy Healy James | Nurse Practitioner | 1000 Trancas St, Napa, CA 94558-2906 | 2006-10-23 |
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|---|---|---|---|---|
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| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| 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.