TRACIE ROULHAC BASS (NPI# 1861958548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861958548 |
Entity Type | Individual |
Full Name | TRACIE ROULHAC BASS |
Practice Address |
1160 Mohawk St Apt 1 Jacksonville FL 32205-0905 |
Practice Telephone | 9044445214 |
Mailing Telephone | 9044445214 |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376J00000X | Homemaker | FL | Nursing Service Related Providers |
Street Address |
1160 MOHAWK ST APT 1 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-0905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
Taxonomy Code | 376J00000X |
Grouping | Nursing Service Related Providers |
Classification | Homemaker |
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572981 | La'toya Renee Jones | Homemaker | 2138 Wiley Oaks Ln, Jacksonville, FL 32210-2692 | 2020-09-12 |
1346855939 | Tina Sines | Homemaker | 1214 Labelle St Apt 159, Jacksonville, FL 32205-6975 | 2020-09-10 |
1437761830 | Johanna I Gates | Homemaker | 15379 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2020-08-18 |
1659983203 | Paula Ravnell | Homemaker | 7707 Merrill Rd Ste 11965, Jacksonville, FL 32277-3714 | 2020-08-17 |
1790395267 | Paris Toins | Homemaker | 1728 Keats Rd, Jacksonville, FL 32208-3122 | 2020-08-08 |
1932719333 | G.a.c. Support Services, LLC | Homemaker | 6532 Gentle Oaks Dr S, Jacksonville, FL 32244-3660 | 2020-07-31 |
1154930527 | Tysheana Peterson | Homemaker | 6717 Southern Oaks Dr, Jacksonville, FL 32244-3675 | 2020-07-30 |
1336757475 | Jessica G Wright | Homemaker | 439 W 26th St, Jacksonville, FL 32206-1923 | 2020-07-15 |
1689292526 | Kedisha Mauraine Goldsmith | Homemaker | 6088 Davon St, Jacksonville, FL 32244-3178 | 2020-07-07 |
1982221099 | Sandrika Powell | Homemaker | 5620 Collins Rd Apt 302, Jacksonville, FL 32244-6910 | 2020-07-06 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
Please comment or provide details below to improve the information on TRACIE ROULHAC BASS.
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.