TRACY FORD (NPI# 1891175592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891175592 |
| Entity Type | Individual |
| Full Name | TRACY FORD |
| Practice Address |
1839 S El Dorado Street Stockton CA 95206 |
| Mailing Address |
1839 S Eldorado Street Stockton CA 95206 |
| Practice Telephone | 2094630870 |
| Practice Fax Number | 2094664446 |
| Mailing Telephone | 2094630872 |
| Mailing Fax Number | 2094664446 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575150 | Tracy M Ford | Case Manager/Care Coordinator | 203 Thompson St, Vian, OK 74962-2518 | 2018-07-19 |
| 1235639964 | Tracy Ford | Technician | 3107 Crescent Oaks Park Ln, Spring, TX 77386-3367 | 2018-02-19 |
| 1356612287 | Tracy Verneil Ford | Rehabilitation Practitioner | 2225 Spruce Ave, Las Vegas, NV 89106-1954 | 2012-01-24 |
| 1568514271 | Tracy Ford | Physical Therapist | 440 Clifton Springs Professional Park, Clifton Springs, NY 14432 | 2007-01-16 |
| 1376925891 | Tracy Ford | Nurse Practitioner | 6913 N Main St, Granger, IN 46530-8039 | 2015-06-20 |
| 1366790222 | Tracy Ford | Home Health Aide | 1420 K St Nw Fl 7, Washington, DC 20005-2500 | 2012-08-27 |
| Street Address |
1839 S EL DORADO STREET |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| 1013078187 | Charter Way Pharmacy | Pharmacy | 201 W Charter Wy, Stockton, CA 95206 | 2006-12-13 |
| Find all providers in zip 95206 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507821 | Ashlee Frazier | Case Manager/Care Coordinator | 4219 Heirloom Ct, Stockton, CA 95219-2508 | 2020-01-14 |
| 1841844982 | Imroz Sandhu | Case Manager/Care Coordinator | 1803 W March Ln, Stockton, CA 95207-6414 | 2019-07-26 |
| 1588160865 | Tyresha Williams | Case Manager/Care Coordinator | 1640 Tyrol Ln Apt 102, Stockton, CA 95207-6687 | 2018-04-04 |
| 1326408303 | Dewayne Thomas Zachary Jr. | Case Manager/Care Coordinator | 6508 Danny Dr Unit 227, Stockton, CA 95210-5352 | 2016-03-03 |
| 1972991982 | Toni Tse | Case Manager/Care Coordinator | 2009 De La Vega Ct, Stockton, CA 95206-4750 | 2014-12-27 |
| 1013331131 | Cecilia Arredondo | Case Manager/Care Coordinator | 729 N. California St., Stockton, CA 95202 | 2014-02-10 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| 1528305273 | Shiawana A Hayes | Case Manager/Care Coordinator | 2119 Red Oak Ct, Stockton, CA 95205-2668 | 2013-01-14 |
| 1518231471 | Rhonda M. Bryant | Case Manager/Care Coordinator | 662 Dave Brubeck Way, # 4, Stockton, CA 95204-1835 | 2012-02-23 |
| 1902177132 | Yvette Rodriguez Palacio | Case Manager/Care Coordinator | 555 W. Benjamin Holt Dr, Suite 400, Stockton, CA 95207-3839 | 2012-01-19 |
| Find all providers in STOCKTON | ||||
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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.