Tracie Thibault, APRN | |
2010 Church St, Ste. 201, Nashville, TN 37203-2012 | |
(615) 284-2800 | |
(615) 284-2883 |
Full Name | Tracie Thibault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2010 Church St, 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 |
---|---|---|---|
1144317264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | APRN06288 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | APRN06288 (Tennessee) | Primary |
Entity Name | Tennessee Maternal-fetal Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154333086 PECOS PAC ID: 1850495599 Enrollment ID: O20070405000169 |
Mailing Address | Practice Location Address |
---|---|
Tracie Thibault, APRN 300 20th Ave N, Suite 702, Nashville, TN 37203-2131 Ph: (615) 284-8636 | Tracie Thibault, APRN 2010 Church St, Ste. 201, Nashville, TN 37203-2012 Ph: (615) 284-2800 |
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 |