Individual provider
TRACIE JOHNSON, RN
CMS NPPES lists TRACIE JOHNSON as an individual provider record with NPI 1215357074. The current record reports a primary practice location in ABBEVILLE, SC and primary taxonomy code 163WC1500X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location905 W GREENWOOD STABBEVILLE, SC 296205678
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163WC1500XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- April 21, 2014
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.