TRACY ALISON ROBERTSON


Address: 6031 Shallowford Rd Ste 117, Chattanooga, TN 37421-1984
Phone: 4234983570

TRACY ALISON ROBERTSON (NPI# 1033595111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033595111
Entity Type Individual
Full Name TRACY ALISON ROBERTSON
Credential AG-ACNP-BC
Practice Address 6031 Shallowford Rd Ste 117
Chattanooga
TN 37421-1984
Mailing Address 1604 Gunbarrel Rd
Chattanooga
TN 37421-3125
Practice Telephone 4234983570
Practice Fax Number 4234983571
Mailing Telephone 4236482395
Mailing Fax Number 4236487542
Enumeration Date 2015-07-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
19933 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN APN LICENSE 19933 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2108 E 3rd St, Suite 300, Chattanooga, TN 374042600 4236245200 4236244440

Other Providers TRACY ROBERTSON

NPI Name Taxonomy Address Enumeration
1407870280 Tracy Robertson Speech-Language Pathologist 1520 Stellar Drive, Oviedo, FL 32765 2006-07-26
1992253975 Tracy Robertson Registered Nurse 4 Columbus Ave, Bay City, MI 48708-6457 2016-09-19

Office Location

Street Address 6031 SHALLOWFORD RD STE 117
City CHATTANOOGA
State TN
Zip Code 37421-1984

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043644198 Jennifer Leigh Wilson Nurse Practitioner 6031 Shallowford Rd Ste 117, Chattanooga, TN 37421-1984 2013-08-26
1003285305 Brittany L Pryor Nurse Practitioner 6031 Shallowford Rd Ste 117, Chattanooga, TN 37421-1984 2015-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558991588 Janera Pentiah Physician Assistant 1360 Mackey Branch Dr, Chattanooga, TN 37421 2020-01-17
1750921367 Stephan Ian Belasco Counselor 1360 Mackey Branch Dr., Chattanooga, TN 37421 2020-01-11
1932745817 Sound Living Inc Community/Behavioral Health 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 2019-11-26
1245875046 Chattanooga Compounding Pharmacy Inc. Pharmacy 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 2019-11-15
1083105803 Trauma and Addiction Recovery Center Counselor 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 2018-05-29
1497257448 Claude James Bowden Counselor 7372 Applegate Lane, Chattanooga, TN 37421 2018-03-06
1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
1477065712 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 7326 Mccutcheon Rd, Chattanooga, TN 37421 2017-10-26
1144746645 Mobility At Home LLC Contractor 6307 E Brainerd Rd, Chattanooga, TN 37421 2017-08-16
Find all providers in zip 37421

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
1376973198 Kelly Leigh Kennedy Nurse Practitioner 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 2013-11-14
1114235231 Jammie Amanda Dill Nurse Practitioner 975 E 3rd St # 247, Trauma Services Department, Chattanooga, TN 37403-2147 2010-09-23
1689204968 Kristen Lamm Smith Nurse Practitioner 975 E 3rd St, Chattanooga, TN 37403-2147 2020-01-25
1215575113 Abigail N Burroughs Nurse Practitioner 2501 Citico Ave, Chattanooga, TN 37404-1127 2019-12-11
1780229229 Dudley W Pate Nurse Practitioner 975 E 3rd St, Chattanooga, TN 37403-2147 2019-11-07
1730721465 Cathy C Patty Nurse Practitioner 2501 Citico Ave, Chattanooga, TN 37404-1127 2019-10-15
1588206155 Lauren Elizabeth Shockley Nurse Practitioner 2525 Desales Ave, Chattanooga, TN 37404-1161 2019-10-15
1225698061 Jared Daniel Coston Nurse Practitioner 975 E 3rd St, Chattanooga, TN 37403-2147 2019-06-14
1346803756 Kelsey C Rudd Nurse Practitioner 975 E 3rd St, Chattanooga, TN 37403-2147 2019-04-22
Find all providers in CHATTANOOGA

Competitor

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City CHATTANOOGA
Zip Code 37421

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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