Tracie Powell, RN
Individual provider Active NPI Community Health Registered Nurse · Pauline, SC
NPI 1104589175 · NPPES record last updated Oct 18, 2021
Key facts
- NPI
- 1104589175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 205571 (SC)
- Practice address
- 124 Miller Town Rd
Pauline, SC 29374-2322 - Phone
- (864) 641-5760
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205571 | SC | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 205571 | SC | Yes |
Addresses
Primary practice location
124 Miller Town Rd
Pauline, SC 29374-2322
Mailing address
124 Miller Town Rd
Pauline, SC 29374-2322
Phone (864) 641-5760
Other providers in Pauline, SC
- Holly Earnhardt Davis
- Meghan Renee Fiocca
- Christina Dawn Guyton-Milley
- Lauren A Lanzon
- Jessica Melton
- Rosewood Assisted Living, LLC
- Paige Forrester Smith
- Donna Shuler Stevens
- Alyssa Kitana Valdez
All providers in Pauline, SC · Community Health Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.