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TRACY ANN ANDERSON
NPI 1114898897
Licensed Vocational Nurse in Upland, CA

Active since September 15, 2025
1614 MEDINAH CIR, UPLAND, CA 91784(323) 301-5836 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Ann Anderson NPPES

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

TRACY ANN ANDERSON (NPI 1114898897) is an individual licensed vocational nurse in Upland, California, licensed in California (235193) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1114898897
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameTRACY ANN ANDERSON
Location Address1614 MEDINAH CIRUpland, CA 91784-8059
Mailing Address1614 Medinah CirUpland, CA 91784-8059
Phone(323) 301-5836
Sole ProprietorYes
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1114898897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 235193
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1614 MEDINAH CIR, Upland, CA 91784
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tracy Anderson's NPI number?

The NPI number for Tracy Anderson is 1114898897. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Tracy Anderson located?

Tracy Anderson practices at 1614 Medinah Cir, Upland, CA 91784. The listed phone number is (323) 301-5836.

What is Tracy Anderson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tracy Anderson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.