| NPI | 1316993165 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-25 |
| Last Updated | 2019-05-06 |
| Mailing Address | Po Box 936 London, KY 40743-0936 United States Phone: (606) 330-7818 | Fax: (606) 330-7825 📍 View Map |
| Primary Practice Address | 417 River Dr Irvine, KY 40336-1272 United States Phone: (606) 723-0399 | Fax: (606) 723-0379 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | KY | 6400 | GROUP MEDICARE # |
| MEDICAID | KY | 78009297 | - |
| MEDICAID | KY | 78901261 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LP0200X – Nurse Practitioner, Pediatrics | KY | 3003803 |
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About NPI 1316993165
Trina R. Mattingly APRN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1316993165. The primary specialty listed is Nurse Practitioner, Pediatrics. The provider is located in Irvine, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316993165?
NPI 1316993165 belongs to Trina R. Mattingly APRN, a Nurse Practitioner, Pediatrics in Irvine, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316993165 active?
The current status of NPI 1316993165 in the NPPES registry is Active. The record was last updated on 2019-05-06.
What specialty is NPI 1316993165?
NPI 1316993165 is classified under the taxonomy Nurse Practitioner, Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316993165?
You can verify NPI 1316993165 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316993165?
The primary practice address on file for NPI 1316993165 is 417 River Dr, Irvine, KY 40336-1272. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316993165 issued?
NPI 1316993165 was first issued (enumerated) on 2006-05-25. The NPPES record was last updated on 2019-05-06.
Practice Location Map
Trina R. Mattingly is located at 417 River Dr, Irvine, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Trina R. Mattingly. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316993165. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Pediatrics | 3003803 | KY |