Active NPI
Tracey Kizer, NP
- Nurse Practitioner
- Union City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN6842
- Practice address
- 700 Sherrill St
Suite B
Union City, TN 38261-5891 - Phone
- (731) 884-3900
- Fax
- (731) 884-3901
- NPI assigned
- Jul 19, 2005
- Last updated
- May 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN6842 | TN | Primary |
Addresses
Primary practice location
700 Sherrill St
Suite B
Union City, TN 38261-5891
Mailing address
700 Sherrill St
Suite B
Union City, TN 38261-5891
Phone (731) 884-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1516 E Reelfoot Ave
Union City, TN 38261-5850
Phone (731) 886-8662
2017 St John Ave B
Dyersburg, TN 38024-2209
Phone (731) 285-6110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6842 | TN | MD | Pharmacist |
| APN6842 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dyersburg Family Walk-in Clinic LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current | Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1954 Saint John Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-6110
2017 Saint John Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-6110
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Reelfoot Family Walk-In Clinic
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1174712780
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
Nurse Practitioner, TN
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Union City, TN
- NPI 1114981768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1124027560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SHERRILL ST",
"address_2": "SUITE B",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615891",
"telephone_number": "731-884-3900",
"fax_number": "731-884-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SHERRILL ST",
"address_2": "SUITE B",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615891",
"telephone_number": "731-884-3900",
"fax_number": "731-884-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN6842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
- Bhekumuzi McGlen Khumalo, DPM
- Kizer Clinic PLLC (Oasis Pain and Treatment Center)
- Kizer Pharmacy LLC
- Kizer Pharmacy LLC (Kizer Pharmacy Long-Term Care)
- Jason Smith Kizer, PHARM. D
- Kofi Nuako, MD, PC (Advanced Gastro)
- Rita Carol Koon, FNP BC
- La Speech Therapy PC
- Madison Sturgeon Lamar, NP-C
- Elliott Landfield, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.