Individual provider Active NPI

Tracie Thibault, APRN

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1144317264
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN06288 Issued in TN
Practice address
2010 Church St
Ste. 201
Nashville, TN 37203-2012
Phone
(615) 284-2800
Fax
(615) 284-2883
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X APRN06288 TN
Women's Health Nurse Practitioner 363LW0102X APRN06288 TN Primary

Addresses

Primary practice location

2010 Church St
Ste. 201
Nashville, TN 37203-2012

Mailing address

300 20TH Ave N
Suite 702
Nashville, TN 37203-2131
Phone (615) 284-8636

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000357 TN Practitioner - Nurse Practitioner 9931165743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6288TNMDClinical Social Worker
APRN06288TNMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Maternal Fetal Medicine PLC CurrentSince Oct 26, 2019 Accepting new patients
Tennessee Maternal-Fetal Medicine LLC CurrentSince Oct 26, 2019 Accepting new patients
St Thomas NP LLC Past Accepting new patients
Saint Thomas Medical Partners Past Accepting new patients

Locations

141 Chesapeake Ln
Ste 102
Clarksville, TN 37040
Phone (615) 284-8636

300 20th Ave N
Ste 702
Nashville, TN 37203
Phone (615) 284-7833

201 23rd Ave N
Nashville, TN 37203
Phone (615) 284-8636

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1144317264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "SUITE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-8636",
            "fax_number": "615-284-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHURCH ST",
            "address_2": "STE. 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032012",
            "telephone_number": "615-284-2800",
            "fax_number": "615-284-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "TRACIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TN",
            "license": "APRN06288",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APRN06288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.