Miss Tracey L Goddard, ACNP-BC | |
3601 The Vanderbilt Clinic, Nashville, TN 37232-2675 | |
(615) 936-2000 | |
Not Available |
Full Name | Miss Tracey L Goddard |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477595106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 89364 (Tennessee) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 14062 (Tennessee) | Primary |
Entity Name | Williamson Imaging, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578581294 PECOS PAC ID: 3375447139 Enrollment ID: O20031122000094 |
Entity Name | Vanderbilt Imaging Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144241985 PECOS PAC ID: 2163417882 Enrollment ID: O20040420000724 |
Entity Name | One Hundred Oaks Imaging,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245485549 PECOS PAC ID: 1355490756 Enrollment ID: O20090513000651 |
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Miss Tracey L Goddard, ACNP-BC 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000 | Miss Tracey L Goddard, ACNP-BC 3601 The Vanderbilt Clinic, Nashville, TN 37232-2675 Ph: (615) 936-2000 |
Rosie K Blakemore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Tennessee Prison For Women, 3881 Stewarts Lane, Nashville, TN 37243 Phone: 615-741-1255 Fax: 615-726-2181 | |
Daniel Barrett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Jacquelyn L. Garner, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Ms. Rose B Vick, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Aaron Wesley Scott, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 | |
Gold Nwokochah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Foster Ave Ste 207, Nashville, TN 37210 Phone: 206-554-1900 | |
Ms. Leslie Elizabeth Newman, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 |