TRACI TERRY (NPI# 1710124078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710124078 |
| Entity Type | Individual |
| Full Name | TRACI TERRY |
| Credential | LPT |
| Practice Address |
2216 Miramar Walk Oxnard CA 93035-2628 |
| Mailing Address |
2216 Miramar Walk Oxnard CA 93035 |
| Practice Telephone | 8052909787 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT33125 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226379 | Traci Walters Terry | Counselor | 930 Cambria St Ne, Christiansburg, VA 24073-1631 | 2020-05-08 |
| Street Address |
2216 MIRAMAR WALK |
| City | OXNARD |
| State | CA |
| Zip Code | 93035-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854972 | Nilda Llorin | Registered Nurse | 2641 New Haven Pl, Oxnard, CA 93035 | 2017-07-25 |
| 1649726365 | Marissa Mikal Riley | Counselor | 801 Raft Lane, Oxnard, CA 93035 | 2016-09-01 |
| 1588021505 | Krysten Ghanie | Behavioral Analyst | 2323 Roosevelt Blvd., Suite #3, Oxnard, CA 93035 | 2016-01-21 |
| 1316245079 | Samantha Garcia | Military Health Care Provider | 124 Glendale Av, Oxnard, CA 93035 | 2011-03-04 |
| 1114241759 | Theresa Dale | Nutritionist | 1237 South Victoria Ave #169, Oxnard, CA 93035 | 2010-03-25 |
| 1053538108 | Tracy Ann Thompson | Counselor | 3201 Harbor Blvd, Oxnard, CA 93035 | 2007-04-19 |
| 1265579841 | Erma Lee Gomes | Technician | 2915 Kelp Ln, 315 Camino Del Remedio Santa Barbara, Oxnard, CA 93035 | 2007-01-31 |
| 1790854198 | David A Packard | Chiropractor | 3600 S Harbor Blvd, Ste 129, Pmb 536, Oxnard, CA 93035 | 2006-11-07 |
| 1699885301 | Norma Beck | Psychologist | 4746 San Sebastian Dr, Oxnard, CA 93035 | 2006-08-30 |
| 1124013057 | John Glenn Taketa | Orthopaedic Surgery | 5011 Shoreline Way, Oxnard, CA 93035 | 2005-09-16 |
| Find all providers in zip 93035 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437682598 | Alicia Cayaban | Licensed Psychiatric Technician | 1731 Alturas St, Oxnard, CA 93035-3408 | 2017-04-06 |
| 1811355050 | Virginia Cervantes | Licensed Psychiatric Technician | 1301 Commercial Ave Unit 101, Oxnard, CA 93030-7538 | 2016-02-02 |
| 1588728935 | Yvonne Miranda I | Licensed Psychiatric Technician | 2320 S M St, Oxnard, CA 93033-4316 | 2006-12-20 |
| 1649334095 | Charles Keaton Navarro | Licensed Psychiatric Technician | 1009 Calle Vista Calma, Oxnard, CA 93030-8044 | 2006-12-20 |
| 1659666162 | Christy Olsen | Licensed Psychiatric Technician | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2011-06-13 |
| 1679771307 | Judy Marlene Joseph | Licensed Psychiatric Technician | 4333 E Vineyard Ave, Oxnard, CA 93036-1013 | 2007-07-03 |
| 1053521278 | Heather Johnson | Licensed Psychiatric Technician | 1911 Williams Dr, Oxnard, CA 93036-2612 | 2007-05-23 |
| 1104945591 | Carol Louise Alesso | Licensed Psychiatric Technician | 1911 Williams Dr Ste 110, Oxnard, CA 93036-2665 | 2007-03-28 |
| 1437282662 | Robert E. Reilly | Licensed Psychiatric Technician | 1911 Williams Dr, 110, Oxnard, CA 93036-2612 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| 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.