Trina Simmons, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-084309 Issued in AL

Practice address

46 L V Stabler Dr
Greenville, AL 36037-3865

Phone

(334) 382-9760

Fax

(334) 383-9331

NPI assigned

Dec 11, 2013

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

Other identifiers 2

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

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080

  AL

  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Pediatric Rural Health Clinics, Inc

  • Pediatric Nurse Practitioner
  • Greenville, AL
  • NPI 1992742860
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1033540489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 L V STABLER DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373865",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 L V STABLER DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373865",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TRINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-084309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156809",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156886",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Robinson, LICSW
• Catherine A Schmid, M.D.
• Chandra Shekar, M.D.
• Sherling Emergency Physicians LLC
• Elizabeth Danielle Shipp
• Brandon Blake Slagley, M.D.
• Jamelyn Suzanna Smith
• Roger H Smith, D.O.
• Vickie Michele Smith
• Southerncare, Inc.

• All providers in Greenville, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.