Active NPI
Trampas S Nolan, ARNP
- Family Nurse Practitioner
- Pineville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004312
- Practice address
- 222 W Tennessee Ave
Pineville, KY 40977-1737 - Phone
- (606) 654-6210
- Fax
- (606) 654-6220
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004312 | KY | Primary |
Addresses
Primary practice location
222 W Tennessee Ave
Pineville, KY 40977-1737
Mailing address
222 W Tennessee Ave
Pineville, KY 40977-1737
Phone (606) 654-6210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78012564 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 W Tennessee Ave
Pineville, KY 40977-1737
Phone (606) 654-6210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004312 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Family Practice PSC | Family | Current | Accepting new patients |
Locations
222 W Tennessee Ave
Pineville, KY 40977
Phone (606) 337-3123
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DECFBD
- https://fhir4.healow.com/fhir/r4/DECFBD/Endpoint/DECFBD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southeast Family Practice PSC | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
May 10, 2018 May 10, 2018 May 10, 2018 May 10, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Pineville, KY
- NPI 1033600416
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ARH Specialty Associates - Middlesboro
- Multi-Specialty Clinic/Center
- Middlesboro, KY
- NPI 1801403092
Hospital
-
dba Middlesboro ARH Hospital
- General Acute Care Hospital
- Middlesboro, KY
- NPI 1891792495
-
dba ARH Middlesboro Internal Medicine Clinic
- Internal Medicine Physician
- Middlesboro, KY
- NPI 1932415882
Hospital
-
dba Amedisys Home Health Care
- Home Health Agency
- Middlesboro, KY
- NPI 1942250592
-
- General Acute Care Hospital
- Pineville, KY
- NPI 1285292219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1033144191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W TENNESSEE AVE",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409771737",
"telephone_number": "606-654-6210",
"fax_number": "606-654-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W TENNESSEE AVE",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409771737",
"telephone_number": "606-654-6210",
"fax_number": "606-654-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "TRAMPAS",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78012564",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, KY
- Mountain Comprehensive Health Corporation (Pineville Medical Clinic)
- Mountain View SNF Operations LLC (Mountain View Rehabilitation and Healthcare Center)
- Carolyn Napier
- Lenn Neal, CEO
- Jennie Katelyn Nolan, PMHNP
- Brooke Norris, APRN
- Denny Bruce Overton, RPH
- Page Elementary School
- Terry David Pannell, RN
- Charles Bobby Partin, ATC, LAT, ITAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.