Active NPI
Jennifer Marie Trent
- Developmental Therapist
- Richmond, KY
National Provider Identifier
1043527682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 000079113
- Practice address
- 316 Dylan CT
Richmond, KY 40475-8176 - Phone
- (859) 200-8209
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 000079113 | KY | Primary |
Addresses
Primary practice location
316 Dylan CT
Richmond, KY 40475-8176
Mailing address
316 Dylan CT
Richmond, KY 40475-8176
Phone (859) 200-8209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000079113 | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1043527682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 DYLAN CT",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758176",
"telephone_number": "859-200-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 DYLAN CT",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758176",
"telephone_number": "859-200-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": "000079113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.