Eddie Jean Truelove, MSN, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024184382 Issued in VA

Practice address

1578 US Highway 19 S Apt 113
Leesburg, GA 31763-4978

Phone

(901) 603-5890

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, TX, CA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of Behavioral Health and Developmental Disabilities

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307

  GA

  Medicare reassignment NPD
• Rivertown Psychiatry, PC

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1023362852

  GA

  Medicare reassignment NPD
• Castro County Hospital District

  • Emergency Care Clinic/Center
  • Dimmitt, TX
  • NPI 1891828059

  TX

  Medicare reassignment NPD
• Knox County Hospital District

  • Rural Health Clinic/Center
  • Munday, TX
  • NPI 1225095441

  TX

  Medicare reassignment NPD
• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656

  CA

  Medicare reassignment NPD
• Department of Behavioral Health & Developmental Disabilities

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Department of Behavioral Health & Developmental Disabilities, Ga

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Department of Behavioral Health and Developmental Disabilities

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1912131319
  NPD
• Castro County Hospital District

  • Community/Retail Pharmacy
  • Dimmitt, TX
  • NPI 1942067129
  NPD
• Knox County Hospital District

  • Critical Access Hospital
  • Knox City, TX
  • NPI 1487639175
  NPD
• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Arcata, CA
  • NPI 1255435533
  NPD
• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1831713452
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1023042298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 US HIGHWAY 19 S APT 113",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634978",
            "telephone_number": "901-603-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 US HIGHWAY 19 S APT 113",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634978",
            "telephone_number": "901-603-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1578 US Highway 19 S Apt 113",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634978",
            "country_code": "US",
            "telephone_number": "901-603-5890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Pine Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317010056",
            "country_code": "US",
            "telephone_number": "901-603-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUELOVE",
        "first_name": "EDDIE",
        "middle_name": "JEAN",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022659",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1064802",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN212011",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapyworks Pediatric Center LLC
• Abigail A Thomas, RDN, LD
• Ayesha Aqueelah Thomas, LCSW
• Martha Thompson
• Cynthia Elaine Tiamfook, RN
• U Save It Pharmacy Inc
• U Save It Pharmacy Inc
• John Edward Vance, M.D.
• Jose Daniel Vargas, DMD
• Angela Gordon Vick, M.ED, CCC-SLP

• All providers in Leesburg, GA
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.