Tristin Eggleton, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71012867B Issued in IN

Practice address

8530 Township Line Rd
Indianapolis, IN 46260-1927

Phone

(317) 472-8134

NPI assigned

Aug 23, 2021

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

Other identifiers 1

Other names 1

• Tristin Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1104538636
  NPD
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Austin, IN
  • NPI 1164223186
  NPD
• Well Care Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richmond, IN
  • NPI 1427694314
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1831865443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744208",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601927",
            "telephone_number": "317-472-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S Ferguson St",
            "address_purpose": "LOCATION",
            "city": "Henryville",
            "state": "IN",
            "postal_code": "471269734",
            "country_code": "US",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Main St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "IN",
            "postal_code": "471021303",
            "country_code": "US",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Main St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473744208",
            "country_code": "US",
            "telephone_number": "765-973-9294",
            "fax_number": "765-973-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGLETON",
        "first_name": "TRISTIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012867B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300078673",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTIN",
            "last_name": "THOMPSON",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Indianapolis, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.