Grace Ann Trutt, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP020709 Issued in PA

Practice address

40 W Frack St
Frackville, PA 17931-1719

Phone

(570) 794-6123

Fax

(570) 794-6124

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1356998942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W FRACK ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311719",
            "telephone_number": "570-794-6123",
            "fax_number": "570-794-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUTT",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.trutt@wilkes.edu",
            "affiliation": "N",
            "address_1": "40 W Frack St",
            "city": "Frackville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179311719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Stemm
• Diana Tacelosky, M.D., PH.D.
• Bonnie Thomas, OTA
• Pamela Tomko, MSW,LCSW
• Total Renal Care Inc (Frackville Dialysis)
• Allison L. Vance, MSPT
• Ralph Edward Vance III, MSPT
• Amber Voeckler, LPC
• Judith Florence Williams, M.S. CCC-SLP
• Michelle Rene Wingert-Adams, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Frackville, PA
• Providers in Frackville, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.