Active NPI
Kaitlyn Elizabeth Trahan, OD
- Optometrist
- Huntington, WV
National Provider Identifier
1245892009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3541
- Practice address
- 1540 Spring Valley Dr
Huntington, WV 25704-9300 - Phone
- (304) 429-6741
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3541 | TN | Primary |
Addresses
Primary practice location
1540 Spring Valley Dr
Huntington, WV 25704-9300
Mailing address
3409 N Hullen St
Metairie, LA 70002-3486
Phone (504) 888-2600
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1245892009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 N HULLEN ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023486",
"telephone_number": "504-888-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DR",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257049300",
"telephone_number": "304-429-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHAN",
"first_name": "KAITLYN",
"middle_name": "ELIZABETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.