Individual provider Active NPI

William Sutherland Trabue

  • Chiropractor
  • Manchester, TN
National Provider Identifier
1851975759
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000003392 Issued in TN
Practice address
1502 McArthur St
Manchester, TN 37355-2520
Phone
(931) 723-4878
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13503 FL
Chiropractor 111N00000X DC0000003392 TN Primary

Addresses

Primary practice location

1502 McArthur St
Manchester, TN 37355-2520

Mailing address

3155 Aerial Way
Brooksville, FL 34604-0629
Phone (352) 283-8388

Other practice location 1

3155 Aerial Way
Brooksville, FL 34604-0629
Phone (352) 283-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111003836 TN Practitioner - Chiropractic 5092249219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Family Chiropractic ComplexGroup PAC ID 4981503273, 2 clinicians

Practice addresses (Care Compare)

1509 N Main St
Shelbyville, TN 37160-2323
Phone (931) 685-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13503FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center for Wellness Inc Chiropractor CurrentSince May 1, 2021 Accepting new patients
Activated Chiropractic Care Chiropractor CurrentSince Jun 22, 2021 Accepting new patients
Family Chiropractic Complex Chiropractor CurrentSince Oct 9, 2024 Accepting new patients

Locations

3155 Aerial Way
Brooksville, FL 34604
Phone (352) 283-8388

1502 McArthur St
Manchester, TN 37355
Phone (931) 723-4878

1509 N Main St
Shelbyville, TN 37160
Phone (931) 455-0408

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1851975759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 AERIAL WAY",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346040629",
            "telephone_number": "352-283-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552520",
            "telephone_number": "931-723-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Aerial Way",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346040629",
            "country_code": "US",
            "telephone_number": "352-283-8388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABUE",
        "first_name": "WILLIAM",
        "middle_name": "SUTHERLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13503",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000003392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.