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KYLE TRUMBULL LPN
NPI 1578917092
Licensed Practical Nurse in Traverse City, MI

Active since April 21, 2016
940 E 8TH ST, TRAVERSE CITY, MI 49686(231) 922-4810(231) 929-0416 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Trumbull Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE TRUMBULL LPN (NPI 1578917092) is an individual licensed practical nurse in Traverse City, Michigan, licensed in Michigan (4703116250) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1578917092
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameKYLE TRUMBULLCredential: LPN
Location Address940 E 8TH STTraverse City, MI 49686-2893
Mailing Address415 Cass St, Suite 2a & 2dTraverse City, MI 49684-2589 · (231) 922-4810 · Fax (231) 943-2590
Phone(231) 922-4810
Fax(231) 929-0416
Sole ProprietorNo
Enumeration DateApril 21, 2016
✔ NPI 1578917092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703116250
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
940 E 8TH ST, Traverse City, MI 49686
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Other Identifiers 2

Medicaid1629431713MI
Medicaid1184087272MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN SMITH
Case Manager/Care Coordinator
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5205
ERIC BRUCE HAYWOOD BS, CAADC
Counselor (Addiction (Substance Use Disorder))
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 409-5594
REBECCA MCDERMONDT RN
Registered Nurse
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-4810
MARK WISNEY RN
Registered Nurse
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-4810
MS. REBECCA ANN DEROCHA MA, LPC, CAAC-R
Counselor (Addiction (Substance Use Disorder))
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-4810
DEANA GUY LPN
Licensed Practical Nurse
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-4810
AMY WAGNER RN
Registered Nurse
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 922-4810
CORY R MCGEE
Case Manager/Care Coordinator
940 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 346-5258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Trumbull's NPI number?

The NPI number for Kyle Trumbull is 1578917092. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Kyle Trumbull located?

Kyle Trumbull practices at 940 E 8th St, Traverse City, MI 49686. The listed phone number is (231) 922-4810.

What is Kyle Trumbull's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kyle Trumbull was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.