Active NPI
Traci C Grime, NP
- Family Nurse Practitioner
- Maryville, TN
National Provider Identifier
1548670557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18689
- Practice address
- 907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015 - Phone
- (865) 980-4897
- Fax
- (865) 980-4896
- NPI assigned
- Apr 29, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18689 | TN | Primary |
Addresses
Primary practice location
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Mailing address
PO Box 5777
Maryville, TN 37802-5777
Phone (865) 246-2104
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6010 Burnett Creek Rd
Knoxville, TN 37920-7721
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.56 of 100
- Quality
- 52.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18689 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| At Home Primary Care Inc | Current | Accepting new patients | |
| Marble City Medical PLLC | Current | Accepting new patients | |
| Sr Medical Services, LLC | Past | Accepting new patients |
Locations
463 1st St NW
Cleveland, TN 37311
Phone (423) 790-6556
250 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5244
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19899/brand/1/csg/1/fhir/r4
- traci.grime.1@19899.direct.athenahealth.com
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.
-
- Primary Care Clinic/Center
- Knoxville, TN
- NPI 1760940613
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, TN
- NPI 1891096061
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Internal Medicine Physician
- Caryville, TN
- NPI 1679718662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1548670557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5777",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378025777",
"telephone_number": "865-246-2104",
"fax_number": "865-246-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045015",
"telephone_number": "865-980-4897",
"fax_number": "865-980-4896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIME",
"first_name": "TRACI",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.