Individual provider Active NPI

Lillian Janet Tryon, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1730526252
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17534 Issued in TN
Practice address
127 Jordan Dr Ste 101
Chattanooga, TN 37421-6774
Phone
(423) 250-5094
Fax
(423) 373-8585
NPI assigned
May 23, 2013
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 17534 TN Primary

Addresses

Primary practice location

127 Jordan Dr Ste 101
Chattanooga, TN 37421-6774

Mailing address

5731 Sunburst CT
Ooltewah, TN 37363-4319
Phone (610) 823-9385

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131001005 TN Order and Referring Only - Family PracticePractitioner - Family Practice 3971032251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17534TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lilly.tryon@313833824649220.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1730526252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 SUNBURST CT",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634319",
            "telephone_number": "610-823-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 JORDAN DR STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216774",
            "telephone_number": "423-250-5094",
            "fax_number": "423-373-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYON",
        "first_name": "LILLIAN",
        "middle_name": "JANET",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-04-26",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.