Laura Kristene Trentham, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

21639 Issued in TN

Practice address

2018 Clinch Avenue
South Tower 1St Floor
Knoxville, TN 37916-3791

Phone

(865) 637-8481

Fax

(865) 246-7560

NPI assigned

Feb 21, 2017

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

• Laura Kristine Broyles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1699214817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 CLINCH AVENUE",
            "address_2": "SOUTH TOWER 1ST FLOOR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379163791",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Winfield Dunn Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378765509",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379227713",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 E Emory Rd",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378494047",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENTHAM",
        "first_name": "LAURA",
        "middle_name": "KRISTENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "21639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036717",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BROYLES",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andru Wilton Trenary
• Billy C Trent, M.D.
• Brooke Nicole Trent, M.S., CCC-SLP
• Carlie Marie Trent
• Christina Faye Trent, APRN, FNP-BC
• Shirley D Trentham, MD
• Cassandra Trepanier, NP-C
• Mallory Irwin Trevino, MD
• Trey Wrigley, Inc.
• Tri-Cities Dental Services LLC

• Pediatric Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.