Jeremy Blake Trull

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-176633 Issued in AL

Practice address

101 Sivley Rd SW
Huntsville, AL 35801-4470

Phone

(256) 265-0000

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sportsmed Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1508947839
  Medicare reassignment NPD
• Sportsmed Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Athens, AL
  • NPI 1790826816
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1902677859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BUCKINGHAM DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032018",
            "telephone_number": "256-400-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014470",
            "telephone_number": "256-265-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULL",
        "first_name": "JEREMY",
        "middle_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-176633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McAnnally Trotter-Tilton, M.D.
• Arynn Troupe
• Julia Caroline Troxtel, PT
• Kathleen Troyanek, MA, LPC
• True North Physical Therapy and Wellness, LLC
• Tara Trulson, RN
• Chad A Truman, PA-C
• Debra Trumbull
• Mary Nelson Trumbull
• Autumn Truss, PSY.D.

• Registered Nurse in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.