Trenna Loretta Vandergrift, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005515 Issued in KY

Practice address

650 Newtown Pike
Lexington, KY 40508-1113

Phone

(859) 288-2483

Fax

(859) 288-2469

NPI assigned

Mar 28, 2008

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

Other identifiers 1

Other names 1

• Trenna Loretta Kreilein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1457523623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 MULUNDY WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118662",
            "telephone_number": "859-351-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NEWTOWN PIKE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081113",
            "telephone_number": "859-288-2483",
            "fax_number": "859-288-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFT",
        "first_name": "TRENNA",
        "middle_name": "LORETTA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100132180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRENNA",
            "last_name": "KREILEIN",
            "middle_name": "LORETTA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Lee Vandeburgh, MD
• Cassidy Vandepol, RBT
• Sean Joseph Vander Woude
• Cheryl Elaine Vanderford, PHYSICIAN ASSISTANT
• Rita J Vandergriff, CSW
• Robbin G. Vandivor
• Joshua B. Vandy
• Rachel Vandyke, BC-AGACNP
• Emma Katherine Vangilder
• Anna Louise Vanhoose, P.A.-C

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.