Active NPI
Trina R. Mattingly, APRN
- Pediatric Nurse Practitioner
- Berea, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3003803
- Practice address
- 305 Estill St FL 4
Berea, KY 40403-1742 - Phone
- (859) 986-2343
- Fax
- (859) 986-2344
- NPI assigned
- May 25, 2006
- Last updated
- Jun 24, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3003803 | KY | Primary |
Addresses
Primary practice location
305 Estill St FL 4
Berea, KY 40403-1742
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7835
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78901261 | Medicaid | KY | |
| 6400 | Other | KY | GROUP MEDICARE # |
| 78009297 | 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 Estill St
Berea, KY 40403-1742
Phone (859) 986-2343
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003803 | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Past | Accepting new patients | |
| Herbert W Long | Past | Accepting new patients | |
| Saint Joseph Health Inc | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
305 Estill St
Fl 4
Berea, KY 40403
Phone (859) 986-2343
417 River Dr
Irvine, KY 40336
Phone (606) 723-0399
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
1401 Harrodsburg Rd
Ste B370
Lexington, KY 40504
Phone (859) 313-3319
701 Bob O Link Dr
Ste 100
Lexington, KY 40504
Phone (859) 224-3194
701 Bob O Link Dr
Ste 120
Lexington, KY 40504
Phone (859) 277-3137
100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339
200 Rice St
Wilmore, KY 40390
Phone (859) 858-9355
475 Shoppers Dr
Winchester, KY 40391
Phone (859) 737-2783
Interoperability endpoints
- tmattingly274730@direct.stlukeshealth.org
- trinamattingly@kysjhspe.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Lexington, KY
- NPI 1659624435
-
dba CHI Saint Joseph Medical Group
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Sleep Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1225468275
-
dba Saint Joseph Primary Care Associates Corbin - RHC
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1285301234
-
- Rural Health Clinic/Center
- Irvine, KY
- NPI 1770705873
-
dba Betsy Layne Clinic
- Rural Health Clinic/Center
- Stanville, KY
- NPI 1851520399
-
- Hematology & Oncology Physician
- London, KY
- NPI 1740550615
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Saint Joseph Hospital
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
dba CHI Saint Joseph East
- General Acute Care Hospital
- Lexington, KY
- NPI 1447457775
-
dba CHI Saint Joseph Berea
- Critical Access Hospital
- Berea, KY
- NPI 1740488386
-
dba CommonSpirit Health at Home - Lexington
- Home Health Agency
- Lexington, KY
- NPI 1083863286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1316993165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST FL 4",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-986-2343",
"fax_number": "859-986-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTINGLY",
"first_name": "TRINA",
"middle_name": "R.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3003803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78901261",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE #",
"identifier": "6400",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78009297",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
- Madison County Health Department
- Madison South Pharmacy LLC (Madison South Pharmacy)
- Troy Mansfield, CADC, CSW
- Ashleigh Brooke Martin, BA
- Katherine Paige Matlock, SLP-CCC
- Amanda Maxie, OTR/L
- McCays Total Care Pharmacy South LLC
- Brian Beatty McDonald, L.C.S.W.
- Angelina Marie McGuire
- Stephanie S. McGuire, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.