Mary Elizabeth Trabalka, ANP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN0000084330 Issued in TN

Practice address

501 19TH St.
Suite 401
Knoxville, TN 37916-1839

Phone

(865) 541-1975

Fax

(865) 541-1976

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mercy Physician Services, LLC

  • Clinic/Center
  • Knoxville, TN
  • NPI 1336373885
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1205915311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST.",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161839",
            "telephone_number": "865-541-1975",
            "fax_number": "865-541-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST.",
            "address_2": "SUITE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161839",
            "telephone_number": "865-541-1975",
            "fax_number": "865-541-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABALKA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "RN0000084330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3346293",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Townsend, D. MIN.
• Savannah Chianne Townsend
• Tox Crew Inc
• Hiroshi Toyohara
• TPC Medical, LLC
• Deborah J Tracy, MSC
• Traditional Transport
• Larry E Tragesser, DDS
• Amber Brooke Trahan
• Hannah Trahan, RBT

• Obstetrics & Gynecology Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.