Individual provider Active NPI

Kara Elizabeth Trombly, LPN

  • Licensed Practical Nurse
  • Plattsburgh, NY
National Provider Identifier
1689497471
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
329753 Issued in NY
Practice address
49 Broad St
Plattsburgh, NY 12901-3396
Phone
(518) 957-6002
Fax
(518) 957-6026
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 329753 NY Primary

Addresses

Primary practice location

49 Broad St
Plattsburgh, NY 12901-3396

Mailing address

11 Jubert LN
Plattsburgh, NY 12901-6441
Phone (518) 593-9865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
329753NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plattsburgh City School District PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1689497471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JUBERT LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016441",
            "telephone_number": "518-593-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013396",
            "telephone_number": "518-957-6002",
            "fax_number": "518-957-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBLY",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.