Tracy Pevahouse, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20862 Issued in TN

Practice address

726 Kentucky Ave S
Parsons, TN 38363-3105

Phone

(731) 847-6371

Fax

(731) 847-2671

NPI assigned

Feb 7, 2016

Last updated

Feb 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951
  Medicare reassignment NPD

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1427416379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 KENTUCKY AVE S",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383633105",
            "telephone_number": "731-847-6371",
            "fax_number": "731-847-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 KENTUCKY AVE S",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383633105",
            "telephone_number": "731-847-6371",
            "fax_number": "731-847-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVAHOUSE",
        "first_name": "TRACY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Montgomery Moore, FNP
• Murphree Family Healthcare PC
• Martina Okwueze, MD
• John Sidney Osment, DPH
• Parsons Medical Arts
• John B Phillips, M.D.
• Kimothy Phillips, PHARM D
• Kristy Lynn Powers, PTA
• Tara Pratt, PHARM.D.
• Ronnie F Vise (Vises Discount Pharmacy)

• Family Nurse Practitioner in Parsons, TN
• Providers in Parsons, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.