Tracie Lynn Todd, RN, APN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14488 Issued in TN

Practice address

394 W Main St
Suite A21
Hendersonville, TN 37075-3348

Phone

(615) 431-2833

Fax

(615) 827-0008

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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.

• Integrated Care Resources, Inc.

  • Community/Behavioral Health Agency
  • Hendersonville, TN
  • NPI 1881959062
  NPD (past) Authorized official
• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1457595084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 W MAIN ST",
            "address_2": "SUITE A21",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753348",
            "telephone_number": "615-431-2833",
            "fax_number": "615-827-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 W MAIN ST",
            "address_2": "SUITE A21",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753348",
            "telephone_number": "615-431-2833",
            "fax_number": "615-827-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "TRACIE",
        "middle_name": "LYNN",
        "credential": "RN, APN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "167754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "14488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515762",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TN Doctors of Optometry, PLLC
• TN Specialty Dental Services, PLLC
• Angela Toavs
• Kyndal Tobitt
• Aimee Todd, PA-C
• Sarai B Tolico
• Tamika Michelle Tomlin, MFT
• Tooth Extraction Clinic
• Charles Dwight Topping, DPH
• Totty Chiropractic of Hendersonville PLLC

• Psychiatric/Mental Health Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.