Individual provider Active NPI

Tracy Papathakis Greer, FNP-BC, RN

  • Family Nurse Practitioner
  • Coronado, CA
National Provider Identifier
1891101754
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002226 Issued in CA
Practice address
230 Prospect PL Ste 220
Coronado, CA 92118-1978
Phone
(619) 522-4000
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002226 CA Primary

Addresses

Primary practice location

230 Prospect PL Ste 220
Coronado, CA 92118-1978

Mailing address

230 Prospect PL Ste 220
Coronado, CA 92118-1978

Other names 1

  • Tracy Anne Papathakis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726001769 CA Practitioner - Nurse Practitioner 8325331523 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Jun 11, 2016 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 18, 2019 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Dr Kim Byers-Lund CurrentSince Oct 23, 2023 Accepting new patients
St. Johns Community Health CurrentSince Jun 11, 2016 Accepting new patients
St. Johns Community Health Current Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Feb 18, 2019 Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

3544 30th St
San Diego, CA 92104
Phone (619) 515-2424

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1891101754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 220",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL STE 220",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181978",
            "telephone_number": "619-522-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "TRACY",
        "middle_name": "PAPATHAKIS",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PAPATHAKIS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.