Individual provider Active NPI

Laurie E Trosin, MD

  • Pediatrics Physician
  • Elizabethton, TN
National Provider Identifier
1801948427
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46537 Issued in TN
Practice address
1503 W Elk Ave Ste 12
Elizabethton, TN 37643-2883
Phone
(423) 547-9400
Fax
(423) 547-9401
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 46537 TN Primary

Addresses

Primary practice location

1503 W Elk Ave Ste 12
Elizabethton, TN 37643-2883

Mailing address

215 E Springbrook Dr
Johnson City, TN 37601-1761
Phone (423) 547-9400

Other practice location 1

2002 Brookside Dr Ste 200
Kingsport, TN 37660-4634
Phone (423) 530-7970

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
I20200302002680 TN Practitioner - Pediatric Medicine 3971930066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46537TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Pediatrics CurrentSince Feb 1, 2020 Accepting new patients
Mountain States Health Alliance Past Accepting new patients
Riverside Pedatrics PLLC Pediatrics PastSince Feb 1, 2020 Accepting new patients

Locations

1503 W Elk Ave
Ste 12
Elizabethton, TN 37643
Phone (423) 547-7940

5000 Monarch Pt
Greeneville, TN 37745
Phone (423) 636-2770

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

2002 Brookside Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3933

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1801948427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E SPRINGBROOK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011761",
            "telephone_number": "423-547-9400",
            "fax_number": "423-547-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W ELK AVE STE 12",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432883",
            "telephone_number": "423-547-9400",
            "fax_number": "423-547-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Brookside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604634",
            "country_code": "US",
            "telephone_number": "423-530-7970",
            "fax_number": "423-530-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROSIN",
        "first_name": "LAURIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "46537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.