Tracie Blue

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

259751 Issued in SC

Practice address

137 Commons Way
Greenville, SC 29611-3850

Phone

(864) 979-0846

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• H and M Labs and Clinics, LLC

  • Health Service Clinic/Center
  • Greenville, SC
  • NPI 1033797311
  NPD Authorized official
• HSSC Homecare

  • In Home Supportive Care Agency
  • Greenville, SC
  • NPI 1053834382
  NPD (past) Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1447867205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26534",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161534",
            "telephone_number": "864-567-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 COMMONS WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-979-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "TRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "44650",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "259751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healthsystemssc.com",
            "affiliation": "N",
            "address_1": "137 Commons Way",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296113850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blue Mountain Diagnostics LLC
• Blue Ridge Health LLC
• Blue Rose Eye Care PA (Yeager Vision Care)
• Kali M Blue, E.D.S, LPCA, NCC
• Kecia House Blue, RN
• Blueprint Wellness and Consulting Services LLC
• Nicole G Blum
• Mary Crouse Blumer, M.D.
• Blythe Academy of Languages
• Amanda Brooke Boatwright

• Registered Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.