Individual provider Active NPI

Lisa Ann Trent, FNP

  • Family Nurse Practitioner
  • Sneedville, TN
National Provider Identifier
1215486279
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21816 Issued in TN
Practice address
1861 Main St
Sneedville, TN 37869-3645
Phone
(423) 733-2131
Fax
(423) 733-1055
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21816 TN Primary

Addresses

Primary practice location

1861 Main St
Sneedville, TN 37869-3645

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 733-2131

Other practice location 1

391 Court Sq
Sneedville, TN 37869-3860
Phone (423) 733-2121

Other practice location 2

2700 Main St
Sneedville, TN 37869-3041
Phone (423) 733-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161116002492 TN Practitioner - Nurse Practitioner 1850670720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee State UniversityGroup PAC ID 2769394774, 21 clinicians

Practice addresses (Care Compare)

391 Court St
Sneedville, TN 37869-0723
Phone (423) 733-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee State University CurrentSince Mar 1, 2025 Accepting new patients
East Tennessee State University CurrentSince Mar 1, 2025 Accepting new patients
East Tennessee State University Past Accepting new patients

Locations

2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819

Organizations & group practices 3

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1215486279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-733-2131",
            "fax_number": "423-733-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 MAIN ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693645",
            "telephone_number": "423-733-2131",
            "fax_number": "423-733-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Court Sq",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693860",
            "country_code": "US",
            "telephone_number": "423-733-2121",
            "fax_number": "423-733-4563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693041",
            "country_code": "US",
            "telephone_number": "423-733-2819",
            "fax_number": "423-733-8509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.