Elizabeth Sonja Trevathan

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3728P Issued in KY

Practice address

300 S 8TH St
Suite 208 East
Murray, KY 42071-2400

Phone

(270) 759-9223

Fax

(270) 753-7345

NPI assigned

Jul 24, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922020718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 208 EAST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-759-9223",
            "fax_number": "270-753-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST",
            "address_2": "SUITE 208 EAST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712400",
            "telephone_number": "270-759-9223",
            "fax_number": "270-753-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVATHAN",
        "first_name": "ELIZABETH",
        "middle_name": "SONJA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3728P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Towery, APRN
• Sarah Townsend, BS, IECE
• Tracy Eyecare Center PLLC
• Sarah Tracy
• Natalie Adams Travis
• Steven Lee Trevathan, M.D.
• Charles Douglas Tucker, M.D.
• Karla Roy Turley, MD
• Cadelia A Turpin, M.S.,R.D.,L.D.
• John Edward Tveite, M.D.

• Pediatric Nurse Practitioner in Murray, KY
• Providers in Murray, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.