TRILLIS MCCLATCHEY (NPI# 1922368992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922368992 |
Entity Type | Individual |
Full Name | TRILLIS MCCLATCHEY |
Credential | NNP |
Practice Address |
1701 Creasy Lane Lafayette IN 47905-1701 |
Mailing Address |
2304 Kossuth St Lafayette IN 47904-3240 |
Practice Telephone | 7654469600 |
Practice Fax Number | 7654461100 |
Mailing Telephone | 7654469600 |
Mailing Fax Number | 7654461100 |
Enumeration Date | 2012-05-23 |
Last Update Date | 2012-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
71003652A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1701 CREASY LANE |
City | LAFAYETTE |
State | IN |
Zip Code | 47905-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205820552 | Anne Louise Heinold | Nurse Practitioner | 1701 Creasy Lane, Lafayette, IN 47905 | 2005-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
Find all providers in zip 47905 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265956270 | Joanna Marie Norvil | Nurse Practitioner | 406 W Cannon St, Lafayette, CO 80026-1612 | 2017-08-01 |
1255736914 | Tarrah Rials | Nurse Practitioner | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2014-10-23 |
1437577467 | Stacey Simon | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2014-04-07 |
1871855759 | Dana Adamson Olivier | Nurse Practitioner | 107 Montrose Ave, Lafayette, LA 70503-3852 | 2012-06-15 |
1487959177 | Katrina Denese Bristol | Nurse Practitioner | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2011-01-11 |
1891099321 | Nancy Marie Snow | Nurse Practitioner | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2010-12-23 |
1912157934 | Rebecca Horn | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-26 |
1760630420 | Audra J Armstrong | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-05 |
1841455706 | Laura E. Mcdaniel | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-07-21 |
1760670343 | Jennifer E Myers | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2007-10-09 |
Find all providers in LAFAYETTE |
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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.