Tracy Renee Callahan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0000073584 Issued in TN

Practice address

10825 Old Highway 64
Bolivar, TN 38008-3599

Phone

(731) 658-5291

Fax

(731) 658-6536

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699819375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380080670",
            "telephone_number": "731-658-5291",
            "fax_number": "731-658-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 OLD HIGHWAY 64",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380083599",
            "telephone_number": "731-658-5291",
            "fax_number": "731-658-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TRACY",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000073584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bryant-Holman, PHARM D
• Renita Gail Bufford-Jones
• Mary Jean Bufford, LCSW
• Michael Aaron Burks, PHARM.D.
• Gregary Byers, NP-C
• Jeanne Beth Carrington, RN
• Jason Carter, PHARM D.
• Thomas J Caruthers Jr., MD
• Randall Wayne Castellaw
• Vijaya K Chandel, M.D.

• Registered Nurse in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.