TRINA R. MATTINGLY (NPI# 1316993165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316993165 |
| Entity Type | Individual |
| Full Name | TRINA R. MATTINGLY |
| Credential | APRN |
| Practice Address |
417 River Dr Irvine KY 40336-1272 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 6067230399 |
| Practice Fax Number | 6067230379 |
| Mailing Telephone | 6063307818 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3003803 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | GROUP MEDICARE # | 6400 | 01 |
| KY | 78901261 | 05 | |
| KY | 78009297 | 05 |
| Street Address |
417 RIVER DR |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890686 | Herbert W Long | Family Medicine | 417 River Dr, Irvine, KY 40336-1272 | 2005-06-09 |
| 1063838456 | Kentucky One Health Medical Group, Inc. | Clinic/Center | 417 River Dr, Irvine, KY 40336-1272 | 2014-03-10 |
| 1841294576 | Thomas E Kirby | Physician Assistant | 417 River Dr, Irvine, KY 40336-1272 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275850034 | Megen Trouard Sampson | Nurse Practitioner | 3500 Barranca Pkwy, Suite 160, Irvine, CA 92606-8226 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1639681992 | Jazmine Gabrielle Yates | Nurse Practitioner | 1330 S Mayo Trl Ste 201, Pikeville, KY 41501-2321 | 2017-10-26 |
| 1003335050 | Kathryn Alexis Perkins | Nurse Practitioner | 1016 Town Dr, Highland Heights, KY 41076-9753 | 2017-09-11 |
| 1386194447 | Morgan Chojnacki | Nurse Practitioner | Kentucky Clinic Pediatric High Bmi Clinic, 740 S. Limestone 2nd Floor Wing D, Lexington, KY 40536 | 2016-10-12 |
| 1811374887 | Hannah Lynn Puntney | Nurse Practitioner | 800 Rose St. Ms 235, Lexington, KY 40536 | 2015-04-29 |
| 1184016685 | Amy Verst | Nurse Practitioner | 1501 Burnley Rd, Scottsville, KY 42164-9693 | 2015-02-20 |
| 1326454448 | Madisonville Pediatrics | Nurse Practitioner | 15 N Harrig St, Madisonville, KY 42431-2123 | 2014-07-09 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1467789974 | Amanda Faith Dressman | Nurse Practitioner | 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 | 2009-11-05 |
| Find all providers with the same taxonomy | ||||
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| 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.