Traci Childress, APRN, PMHNP-BC
NPI 1376385005 · Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traci Childress, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Johnson City, TN (NPI 1376385005).
Provider details
- NPI number
- 1376385005
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 36836 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1570 Waverly RdKingsport, TN 37664-2523Phone: (423) 224-1300Fax: (423) 224-1375
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Traci Childress's NPI number?
- Traci Childress's National Provider Identifier (NPI) is 1376385005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Traci Childress's specialty?
- Traci Childress is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Traci Childress located?
- Traci Childress's practice location on file with NPPES is 1276 Gilbreath Dr, Johnson City, TN 37614-6503.
- What is Traci Childress's phone number?
- The practice phone number listed in the NPPES registry for Traci Childress is (423) 439-1000.
- Does Traci Childress accept Medicare?
- Traci Childress is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Traci Childress's NPI active?
- Yes — Traci Childress's NPI (1376385005) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.