TRACY LYNN WILSON (NPI# 1699892612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699892612 |
| Entity Type | Individual |
| Full Name | TRACY LYNN WILSON |
| Credential | MS |
| Practice Address |
2200 E Route 66 Glendora CA 91740 |
| Mailing Address |
3303 S Archibald Ave Apt 183 Ontario CA 91761-7984 |
| Practice Telephone | 6268592089 |
| Practice Fax Number | 6268596537 |
| Mailing Telephone | 6268592089 |
| Mailing Fax Number | 6268596537 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1033256938 | Tracy C Wilson | Counselor | 215 Bradley St, Carrollton, GA 30117-3217 | 2007-01-31 |
| 1790840296 | Tracy Wilson | Occupational Therapist | 2422 Saint George Way, Brookeville, MD 20833-3265 | 2006-12-26 |
| 1548343205 | Tracy Allison Wilson | Specialist | 1000 Bible Way Ste 73, Reno, NV 89502-2134 | 2006-10-23 |
| 1588278329 | Tracy Wilson | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-31 |
| 1932686391 | Tracy Wilson | Case Manager/Care Coordinator | 1421 Hamlet St, Columbus, OH 43201-2599 | 2018-07-27 |
| 1568995587 | Tracy Wilson | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-04-06 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1265853055 | Tracy Wilson | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2013-12-20 |
| 1902232325 | Tracy M Wilson | Occupational Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2013-09-17 |
| Street Address |
2200 E ROUTE 66 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609438894 | Gabriela Fonteyn | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-07-08 |
| 1336709914 | Erin-ashley Brown | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-06-17 |
| 1346805314 | Ofelia G Lopez | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-05-06 |
| 1528622032 | Hannah M Price | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-30 |
| 1366904500 | Andrew Alberto Pantoja | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-05 |
| 1679039663 | Hannah E Elliott | Marriage & Family Therapist | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-02-14 |
| 1548739311 | Ashley M Mitchell | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-11-21 |
| 1790250843 | Gabriela Stephany Estrada-arreguin | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-10-04 |
| 1467936013 | Briana Nicole Perlson | Counselor | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-09-19 |
| 1124566096 | Irene Martinez | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588896567 | Veronica A Zendejas | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2009-08-10 |
| 1275787301 | Christine Deborah Price | Rehabilitation Practitioner | 1222 S Soderberg Ave, Glendora, CA 91740-4993 | 2008-11-17 |
| 1780703041 | Tom Rayle | Rehabilitation Practitioner | 1771 S Grand Ave, Apt #41, Glendora, CA 91740-5436 | 2007-03-28 |
| 1447392782 | Myrna Diaz Yepez | Rehabilitation Practitioner | 1160 South Grand Avenue, Glendora, CA 91740 | 2007-02-13 |
| 1295369734 | Sandra Castaneda | Rehabilitation Practitioner | 2200 E Route 66 Ste 200, Glendora, CA 91740-4699 | 2020-02-24 |
| 1326680521 | Briana Acevedo | Rehabilitation Practitioner | 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 | 2019-10-09 |
| 1528622032 | Hannah M Price | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-30 |
| 1366904500 | Andrew Alberto Pantoja | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2019-04-05 |
| 1790250843 | Gabriela Stephany Estrada-arreguin | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2018-10-04 |
| 1124566096 | Irene Martinez | Rehabilitation Practitioner | 2200 E Route 66, Glendora, CA 91740-4659 | 2017-02-10 |
| Find all providers in GLENDORA | ||||
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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.