Active NPI
Trillis McClatchey, NNP
- Neonatal Nurse Practitioner
- Lafayette, IN
National Provider Identifier
1922368992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 71003652A
- Practice address
- 1701 Creasy Lane
Lafayette, IN 47905-1701 - Phone
- (765) 446-9600
- Fax
- (765) 446-1100
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 71003652A | IN | Primary |
Addresses
Primary practice location
1701 Creasy Lane
Lafayette, IN 47905-1701
Mailing address
2304 Kossuth St
Lafayette, IN 47904-3240
Phone (765) 446-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003652A | IN | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Neonatal Group | Past | Accepting new patients | |
| Lafayette Neonatal Associates PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Lafayette, IN
- NPI 1669636064
-
- Neonatal-Perinatal Medicine Physician
- Valparaiso, IN
- NPI 1912296682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1922368992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 KOSSUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479043240",
"telephone_number": "765-446-9600",
"fax_number": "765-446-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CREASY LANE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479051701",
"telephone_number": "765-446-9600",
"fax_number": "765-446-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLATCHEY",
"first_name": "TRILLIS",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IN",
"license": "71003652A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.