Individual provider Active NPI

Tristan K Hatton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, IN
National Provider Identifier
1750044376
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011652A Issued in IN
Practice address
1314 E Walnut St
Washington, IN 47501-2132
Phone
(812) 254-2760
Fax
(812) 254-8629
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71011652A IN Primary

Addresses

Primary practice location

1314 E Walnut St
Washington, IN 47501-2132

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

Other names 1

  • Tristan K Alldredge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211022001063 IN Practitioner - Nurse Practitioner 1052709193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

1402 Grand Ave
Washington, IN 47501-2122
Phone (812) 254-8666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011652AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital CurrentSince Sep 29, 2021 Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Sep 29, 2021 Accepting new patients

Locations

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 3

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1750044376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310",
            "fax_number": "812-254-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012132",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "TRISTAN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTAN",
            "last_name": "ALLDREDGE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.