Individual provider Active NPI

Hadleigh N Trevino

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1629452297
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000019855 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone
(423) 778-7956
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019855 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2147

Mailing address

7273 Aventine Way Apt 306
Chattanooga, TN 37421-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001632 TN Practitioner - Nurse Practitioner 6709192446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
Chattanooga, TN 37403-2136
Phone (423) 778-5910

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000019855TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Oct 1, 2015 Accepting new patients
Erlanger Health CurrentSince Feb 3, 2024 Accepting new patients
Erlanger Health CurrentSince Feb 3, 2024 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC Past Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

2158 Northgate Park Ln
Ste 104
Chattanooga, TN 37415
Phone (423) 531-3398

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426

1755 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 778-8400

1521 Gunbarrel Rd
#103
Chattanooga, TN 37421
Phone (423) 531-0911

1755 Gunbarrel Rd
Ste 209
Chattanooga, TN 37421
Phone (423) 305-7964

979 E 3rd St
Ste C925
Chattanooga, TN 37403
Phone (423) 778-5910

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

5241 Highway 153
Ste 121
Hixson, TN 37343
Phone (423) 486-1911

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1629452297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7273 AVENTINE WAY APT 306",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "HADLEIGH",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.