TRACIE MARIA SMITH
NPI 1063240356
Nurse Practitioner - Family in San Leandro, CA

Q: What is Tracie Smith's NPI number?

The NPI number for Tracie Smith is 1063240356. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Q: What is Tracie Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracie Smith was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2024

1040 DAVIS ST STE 202, SAN LEANDRO, CA 94577(510) 777-1000 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracie Maria Smith NPPES

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

TRACIE MARIA SMITH (NPI 1063240356) is an individual family provider in San Leandro, California, licensed in California (95028805) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1063240356

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACIE MARIA SMITH

Location Address1040 DAVIS ST STE 202San Leandro, CA 94577-1519

Mailing Address1040 Davis St Ste 202San Leandro, CA 94577-1519 · (510) 777-1000

Phone(510) 777-1000

Sole ProprietorNo

Enumeration DateJuly 26, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1063240356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95028805

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 702324 (CA)

1040 DAVIS ST STE 202, San Leandro, CA 94577

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Other Providers at the Same Location NPPES

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

SANDRA VILLANUEVA EATON NP

Nurse Practitioner (Primary Care)

1040 DAVIS ST STE 202
SAN LEANDRO, CA 94577

Alameda County (510) 777-1000

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 Tracie Smith's NPI number?

The NPI number for Tracie Smith is 1063240356. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Tracie Smith located?

Tracie Smith practices at 1040 Davis St Ste 202, San Leandro, CA 94577. The listed phone number is (510) 777-1000.

What is Tracie Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tracie Smith was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.