Individual provider Active NPI

Trista R Eady, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1356832174
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4008 Issued in KY
Practice address
4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone
(502) 394-6350
Fax
(502) 394-6351
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4008 KY Primary

Addresses

Primary practice location

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other practice location 1

1801 Lynn Way
Louisville, KY 40222-6552
Phone (502) 426-4513

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613003008 KY Practitioner - Clinical Social Worker 8921353053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

315 E Broadway
Louisville, KY 40202-3700

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone (502) 394-6350

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Clinical CurrentSince Aug 19, 2020 Accepting new patients
Norton Hospitals, Inc CurrentSince Aug 19, 2020 Accepting new patients

Locations

4955 Norton Healthcare Blvd
Fl 2
Louisville, KY 40241
Phone (502) 394-6350

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

3991 Dutchmans Ln
Ste 300
Louisville, KY 40207
Phone (502) 559-1970

4915 Norton Healthcare Blvd
Ste 103
Louisville, KY 40241
Phone (502) 446-6640

720 W Hill St
Louisville, KY 40208
Phone (502) 363-3164

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

3 Audubon Plaza Dr
Ste 610
Louisville, KY 40217
Phone (502) 635-7455

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

676 S Floyd St
Lowr
Louisville, KY 40202
Phone (502) 629-2500

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

438 Adam Shepherd Pkwy
Ste 1
Shepherdsville, KY 40165
Phone (502) 543-1055

Interoperability endpoints

  • Direct secure messaging: teady168180@direct.nortonhealthcare.org

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1356832174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 NORTON HEALTHCARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-394-6350",
            "fax_number": "502-394-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Lynn Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402226552",
            "country_code": "US",
            "telephone_number": "502-426-4513",
            "fax_number": "502-426-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADY",
        "first_name": "TRISTA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.