TRACY ALISON ROBERTSON AG-ACNP-BC NPI 1033595111

NPI Information

NPI: 1033595111
Provider Name: TRACY ALISON ROBERTSON, AG-ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MEMORIAL HEALTH PARTNERS FOUNDATION, INC

PECOS Registration: Yes

Address:
6031 SHALLOWFORD RD STE 117
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 498-3570
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Tracy Alison Robertson, AG-ACNP-BC is an acute care nurse practitioner in Chattanooga, TN with 10 years of experience. Tracy Alison Robertson, AG-ACNP-BC NPI is 1033595111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6031 SHALLOWFORD RD STE 117
CHATTANOOGA, TN
ZIP 37421-984
Phone: (423) 498-3570
Fax: (423) 498-3571

The NPI 1033595111 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	19933	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	19933	OTHER	TENNESSEE	APN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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