Active NPI
Violet T Trueblood, ARNP
- Nurse Practitioner
- Somerset, KY
National Provider Identifier
1790753143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3023P
- Practice address
- 3810 S Hwy 27
Ste 4
Somerset, KY 42503 - Phone
- (606) 677-0772
- Fax
- (606) 677-0969
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3023P | KY | Primary |
Addresses
Primary practice location
3810 S Hwy 27
Ste 4
Somerset, KY 42503
Mailing address
298 Bogle St
Ste B
Somerset, KY 42503
Phone (606) 679-9213
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000328295 | Other | BCBS | |
| 1167822 | Other | CHA HEALTH | |
| 78003571 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3023P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie N. Southard, PSC | Past | 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.
-
- Primary Care Clinic/Center
- Monticello, KY
- NPI 1629267315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1790753143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 BOGLE ST",
"address_2": "STE B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42503",
"telephone_number": "606-679-9213",
"fax_number": "606-677-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 S HWY 27",
"address_2": "STE 4",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42503",
"telephone_number": "606-677-0772",
"fax_number": "606-677-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUEBLOOD",
"first_name": "VIOLET",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3023P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000328295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "1167822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78003571",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.