TRILLIS MCCLATCHEY


Address: 1701 Creasy Lane, Lafayette, IN 47905-1701
Phone: 7654469600

TRILLIS MCCLATCHEY (NPI# 1922368992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
71003652A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1701 CREASY LANE
City LAFAYETTE
State IN
Zip Code 47905-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205820552 Anne Louise Heinold Nurse Practitioner 1701 Creasy Lane, Lafayette, IN 47905 2005-09-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

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.

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