Tracy Ann Harris, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP11489 Issued in CA

Practice address

1000 Fowler Way
Suite 7
Placerville, CA 95667-5738

Phone

(530) 621-3600

NPI assigned

Sep 2, 2006

Last updated

Feb 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barba & Associates, Family Medicine, Inc.

  • Primary Care Clinic/Center
  • Placerville, CA
  • NPI 1063576510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1609978410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-621-1144",
            "fax_number": "530-626-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE 7",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-621-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11489",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN321142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN321142",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NP11489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmony Healing Corp (MotherLode Chiropractic Center)
• Jordan Harrington, LCSW
• Kristina Marie Harris, CADC-II
• Nathan William Harris, RADT-1
• Tautteaonna Harris
• Lisa M Hartley, RN BSN CDE
• Allison Ruth Harvey, MD
• Suzzette Kay Havens
• Carol Aycock Hayden, M.S,/CCC/SLP
• Megan A Headd, RADT 1

• Nurse Practitioner in Placerville, CA
• Providers in Placerville, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.