Trinity Jared Blevins, CNP

Individual provider Active NPI Family Nurse Practitioner · Barbourville, KY

NPI 1467309294 · NPPES record last updated Jul 10, 2026

Key facts

NPI
1467309294
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4052595 (KY)
Practice address
315 Hospital Dr Ste 2
Barbourville, KY 40906-7917
Phone
(606) 546-4060
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4052595KYMDPrimary Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4052595 KY Yes

Addresses

Primary practice location

315 Hospital Dr Ste 2
Barbourville, KY 40906-7917

Mailing address

164 Michigan Ave
Hinkle, KY 40953-5800
Phone (606) 269-4195

Other providers in Barbourville, KY

All providers in Barbourville, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.