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TRACEY J JOHNSON NP
NPI 1053410571
Nurse Practitioner in Roseville, CA

Active since September 21, 2006
3 MEDICAL PLAZA DR, #260, ROSEVILLE, CA 95661(916) 773-7977(916) 773-7979 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracey J Johnson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY J JOHNSON NP (NPI 1053410571) is an individual nurse practitioner in Roseville, California, licensed in California (NP6930) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053410571
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACEY J JOHNSONCredential: NP
Location Address3 MEDICAL PLAZA DR, #260Roseville, CA 95661-3087
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 773-7977
Fax(916) 773-7979
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 25, 2013
✔ NPI 1053410571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP6930
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3 MEDICAL PLAZA DR, Roseville, CA 95661
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Other Identifiers 4

Medicare PINBP536ZCA
Medicare UPINS000571
MedicaidRN358159CA
Medicare ID-Type UnspecifiedZZZ25820Z

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE M DEGAN PTA
Physical Therapy Assistant
3 MEDICAL PLAZA DR, #100
ROSEVILLE, CA 95661
Placer County (916) 781-1392
KATHLEEN M MARTY PA-C
Physician Assistant
3 MEDICAL PLAZA DR, #140
ROSEVILLE, CA 95661
Placer County (916) 797-4715
DR. HOSSEIN MIRHEYDAR M.D.
Urology
3 MEDICAL PLAZA DR, STE 250
ROSEVILLE, CA 95661
Placer County (916) 797-4720
CHARLES ERIC GAGE MD
Otolaryngology
3 MEDICAL PLAZA DR, #220
ROSEVILLE, CA 95661
Placer County (916) 773-7970
PAUL V MURPHY MD
Obstetrics & Gynecology
3 MEDICAL PLAZA DR, #260
ROSEVILLE, CA 95661
Placer County (916) 773-7977
DAVID W SOX MD
Internal Medicine
3 MEDICAL PLAZA DR, #140
ROSEVILLE, CA 95661
Placer County (916) 797-4715
LOU D LEVY PTA
Physical Therapy Assistant
3 MEDICAL PLAZA DR, #100
ROSEVILLE, CA 95661
Placer County (916) 781-1421
DR. LINDA J SHEU M.D.
Dermatology
3 MEDICAL PLAZA DR, SUITE 230
ROSEVILLE, CA 95661
Placer County (916) 797-4766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Johnson's NPI number?

The NPI number for Tracey Johnson is 1053410571. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Tracey Johnson located?

Tracey Johnson practices at 3 Medical Plaza Dr #260, Roseville, CA 95661. The listed phone number is (916) 773-7977.

What is Tracey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tracey Johnson was last updated on October 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.