Tracie Renee Hall, NP-C
Nurse Practitioner, Family in Knoxville, TN. Individual provider (NPI-1).
NPI number1669928511
StatusActive
Last updated in NPPESAug 31, 2016
Details
- NPI
- 1669928511
- Entity type
- Individual (NPI-1)
- Name
- Tracie Renee Hall
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2016
- Last updated
- Aug 31, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 21703 | TN | Yes |
Practice location
1940 Alcoa Hwy Ste E120Knoxville, TN 37920-2259
Phone 865-305-8040
Mailing address
1940 Alcoa Hwy Ste E120Knoxville, TN 37920-2259
Phone 865-305-8040
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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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