Individual provider Active NPI

Tracy Dallefeld, FNP

  • Family Nurse Practitioner
  • Ashland City, TN
National Provider Identifier
1992518518
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38058 Issued in TN
Practice address
150 Hutton PL
Ashland City, TN 37015-4953
Phone
(706) 987-9152
NPI assigned
Jan 28, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38058 TN Primary

Addresses

Primary practice location

150 Hutton PL
Ashland City, TN 37015-4953

Mailing address

2028 Lock B Rd N
Clarksville, TN 37043-8232

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002779 TN Practitioner - Nurse Practitioner 1557882669 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
38058TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 27, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 27, 2025 Accepting new patients
Isaac Spine Joint & Pain Institute CurrentSince Nov 17, 2025 Accepting new patients
Isaac Spine, Joint & Pain Institute CurrentSince Nov 17, 2025 Accepting new patients

Locations

2004 Hayes St
Ste 655
Nashville, TN 37203
Phone (615) 866-9040

3320 Perimeter Hill Dr
Nashville, TN 37211
Phone (615) 502-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1992518518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LOCK B RD N",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUTTON PL",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370154953",
            "telephone_number": "706-987-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEFELD",
        "first_name": "TRACY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.