Integrated Care Resources, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14488 Issued in TN

Legal business name

INTEGRATED CARE RESOURCES, INC.

Practice address

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

Phone

(615) 824-7780

Fax

(615) 827-0008

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Tracie Lynn Todd, MSN, PMHNPNPI 1457595084

Title

Director

Phone

(615) 824-7780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Lynn Todd, RN, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hendersonville, TN
  • NPI 1457595084
  NPD (past) Authorized official

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1881959062",
    "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": "615-824-7780",
            "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": "615-824-7780",
            "fax_number": "615-827-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-824-7780",
        "authorized_official_credential": "MSN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "14488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.