Doctor Etyane Ayana

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

DOCTOR ETYANE AYANA

Doing business as

Trinity Health Community Clinic

Practice address

1555 Southcross Dr W Ste 208
Burnsville, MN 55306-6938

Phone

(952) 465-1959

Fax

(952) 236-0138

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Etyane AyanaNPI 1972765972

Title

DO

Phone

(952) 236-4008

Specialties & licenses 1

Addresses

Other names 1

• TRINITY HEALTH COMMUNITY CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Etyane Ayana

  • Family Nurse Practitioner
  • Lakeville, MN
  • NPI 1972765972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1043182801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTHCROSS DR W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066938",
            "telephone_number": "952-236-4008",
            "fax_number": "952-236-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTHCROSS DR W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066938",
            "telephone_number": "952-465-1959",
            "fax_number": "952-236-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR ETYANE AYANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "AYANA",
        "authorized_official_first_name": "ETYANE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "952-236-4008"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY HEALTH COMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.