Tracie Lynn Todd, RN, APN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Hendersonville, TN. Individual provider (NPI-1).
Details
- NPI
- 1457595084
- Entity type
- Individual (NPI-1)
- Name
- Tracie Lynn Todd
- Credential
- RN, APN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2009
- Last updated
- Apr 4, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Apr 20, 2020 (1128b4)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 14488 | TN | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 167754 | TN |
Practice location
394 W Main StSuite A21
Hendersonville, TN 37075-3348
Phone 615-431-2833 · Fax 615-827-0008
Mailing address
394 W Main StSuite A21
Hendersonville, TN 37075-3348
Phone 615-431-2833 · Fax 615-827-0008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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