DR. AMY JACQUELINE TRIVETTE (NPI# 1871515718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871515718 |
Entity Type | Individual |
Full Name | DR. AMY JACQUELINE TRIVETTE |
Credential | M.D. |
Practice Address |
1612 Dawkins Rd Box 67 La Grange KY 40031-8729 |
Mailing Address |
160 N Bellaire Ave Louisville KY 40206-2042 |
Practice Telephone | 5022227161 |
Practice Fax Number | 5022227798 |
Mailing Telephone | 5027210412 |
Mailing Fax Number | 5027210412 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2009-05-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
41105 | KY | Allopathic & Osteopathic Physicians |
N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
200200819 | NC | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01066299A | IN | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41105 | KY | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
200200819 | NC | Allopathic & Osteopathic Physicians |
Street Address |
1612 DAWKINS RD BOX 67 |
City | LA GRANGE |
State | KY |
Zip Code | 40031-8729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518962356 | Kentucky Correctional Psychiatric Center | Rehabilitation Hospital | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2005-06-17 |
1144854456 | Melissa Rene Wilkerson | Nurse Practitioner | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2020-02-25 |
1154661775 | Cynthia Cates | Registered Nurse | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2013-02-19 |
1548554447 | Lori Wence | Social Worker | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2011-06-08 |
1902036601 | Kellie Leanhart | Counselor | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2009-07-16 |
1669582094 | Linda H Wathen | Social Worker | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
Find all providers in zip 40031 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336340967 | Douglas D. Ruth | Psychiatry & Neurology | 1082 Wellington Way, Lexington, KY 40513-1200 | 2007-05-30 |
1952355802 | David Melvin Walker | Psychiatry & Neurology | 800 Zorn Avenue, Louisville, KY 40206 | 2006-05-22 |
1750533790 | Scott A Haas | Psychiatry & Neurology | 275 E Main St, Frankfort, KY 40601-2321 | 2008-10-22 |
1104009398 | Brian Barczak | Psychiatry & Neurology | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2007-12-11 |
1568588218 | Robert P Granacher Jr. | Psychiatry & Neurology | 1401 Harrodsburg Rd, Suite A 400, Lexington, KY 40504 | 2007-03-22 |
1437282670 | Candace Walker Deland | Psychiatry & Neurology | 5135 Dixie Hwy, Suite 12, Louisville, KY 40216-1771 | 2007-03-14 |
1346378411 | Timothy Marshall Houchin | Psychiatry & Neurology | 627 W 4th St, Lexington, KY 40508-1207 | 2007-03-01 |
1922181346 | Timothy Scott Allen | Psychiatry & Neurology | 3470 Blazer Pkwy, Lexington, KY 40509-1200 | 2006-10-21 |
1588754220 | Prathiba Ram | Psychiatry & Neurology | 202 W 7th St, Suite 113, London, KY 40741-1763 | 2006-10-13 |
1316974314 | Gentry C Larue Jr. | Psychiatry & Neurology | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-06-26 |
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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.