Atitaya Tahn Trimble, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57010610 Issued in OH

Practice address

217 Elm Tree LN
Lexington, KY 40507-2117

Phone

(859) 257-8801

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Atitaya Veerasethakul Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atitaya.trimble.1@29320.direct.athenahealth.com
• Direct secure messaging: atitaya.trimble@699574290677764.direct.elationemr.com

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.

• Horizon Headache Center, PLLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1831495506
  Medicare reassignment NPD Authorized official
• Proactive Therapy, Inc

  • Occupational Therapist
  • Frankfort, KY
  • NPI 1932132149
  Care Compare group

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1609995265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ELM TREE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405072117",
            "telephone_number": "859-257-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ELM TREE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405072117",
            "telephone_number": "859-257-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "ATITAYA",
        "middle_name": "TAHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57010610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATITAYA",
            "last_name": "VEERASETHAKUL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Max Andrew Triantafillou, MD
• Tricare Pharmacy Network
• Trilogy Healthcare of Fayette I, LLC
• Trilogy Healthcare of Fayette II LLC
• Trilogy Healthcare of Fayette III, LLC
• Melissa Trimble, PTA
• Charles Andrew Tringo, P.A.-C
• Anna Karenina Krizia Sarria Trinidad, MD
• Megan Trinkle, AU.D
• Nishant Tripathi, MD

• Family Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.

Verify at the official NPI Registry.