TRACIE GRIDER PMHNP-BC NPI 1043881956

NPI Information

  • NPI: 1043881956
  • Provider Name: TRACIE GRIDER, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 JOHN PAUL JONES CIR
    PORTSMOUTH, VA
    ZIP 23708
  • Phone: (757) 953-0609

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NPI Details

Tracie Grider, PMHNP-BC is a psychiatric/mental health nurse practitioner in Portsmouth, VA. Tracie Grider, PMHNP-BC NPI is 1043881956. 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:

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708-111
Phone: (757) 953-0609

The NPI 1043881956 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 7/2/2021 and was last updated on 10/21/2024.

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
1163WC0400XRegistered NurseCase Management0001192036VIRGINIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health2020146276VIRGINIAYes

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: 3/30/2025

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