Susan Gale Trevithick, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

189015-3102 Issued in UT

Practice address

VA Salt Lake City Healthcare System MC # 118
500 Foothill Boulevard
Salt Lake City, UT 84148-0001

Phone

(801) 582-1565

Fax

(801) 584-1298

NPI assigned

Sep 21, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730288374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 ALPEN WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216105",
            "telephone_number": "801-943-5261",
            "fax_number": "801-584-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SALT LAKE CITY HEALTHCARE SYSTEM MC # 118",
            "address_2": "500 FOOTHILL BOULEVARD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-584-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVITHICK",
        "first_name": "SUSAN",
        "middle_name": "GALE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "UT",
            "license": "189015-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Riley Noel Trepanier
• Monica Trepicone, RN, BSN, MS
• Tess Treseder
• Eric Benno Treu
• Shelley Reynolds Treuhaft, APRN
• Trevor Lowry Chiropractic
• Trevor Therapy
• Connor A. Trexler, MD
• Tri-Peak, PLLC
• Alan Lee Tribble

• Administrator Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Administrator Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.