Active NPI
Renisse Trecia Trillana, PA-C
- Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61342922
- Practice address
- 1580 N Logan St Ste 660
Denver, CO 80203-1994 - Phone
- (866) 968-3694
- Fax
- (844) 749-3705
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61342922 | WA | Primary |
| Physician Assistant | 363A00000X | PA.2812 | AL |
Addresses
Primary practice location
1580 N Logan St Ste 660
Denver, CO 80203-1994
Mailing address
91-1780 Kohanahana Loop
Ewa Beach, HI 96706-7851
Other practice location 1
11216 Sunrise Blvd E Ste 3-207
Puyallup, WA 98374-8848
Phone (253) 841-3933
Other practice location 2
21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650 ext. 7246
Other practice location 3
501 N 34th St Ste 101
Seattle, WA 98103-8856
Phone (206) 838-1777
Other practice location 4
7114 W Hood Pl
Kennewick, WA 99336-6712
Phone (509) 734-4885
Other practice location 5
209 Lilly Rd NE Ste B
Olympia, WA 98506-5030
Phone (360) 413-8250
Other practice location 6
11027 Meridian Ave N Ste 100
Seattle, WA 98133-1705
Phone (206) 365-4492
Other practice location 7
11800 NE 128th St Ste 100
Kirkland, WA 98034-7208
Phone (425) 899-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2292214 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, HI, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
33915 1St Way S
Suite 200
Federal Way, WA 98003-6396
Phone (253) 838-9839
590 Farrington Hwy
Kapolei, HI 96707-2034
Phone (808) 762-2311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06188 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Physician Assistant | Current | Accepting new patients |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current | Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current | Accepting new patients | |
| Carolina Digestive Health Associates, PA | Current | Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Past | Accepting new patients |
Locations
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350
33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Physician Assistant
-
- Gastroenterology Physician
- Kapolei, HI
- NPI 1710459300
-
- Clinical Medical Laboratory
- Lynnwood, WA
- NPI 1689646838
-
- Family Medicine Physician
- Waianae, HI
- NPI 1275566424
-
- Gastroenterology Physician
- Charlotte, NC
- NPI 1124052444
-
- Clinic/Center
- Waianae, HI
- NPI 1356115000
-
- Federally Qualified Health Center (FQHC)
- Waianae, HI
- NPI 1710709365
-
- Gastroenterology Physician
- Kirkland, WA
- NPI 1427185388
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1073978359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1780 KOHANAHANA LOOP",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967067851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 N LOGAN ST STE 660",
"city": "DENVER",
"state": "CO",
"postal_code": "802031994",
"telephone_number": "866-968-3694",
"fax_number": "844-749-3705"
}
],
"practiceLocations": [
{
"address_1": "11216 Sunrise Blvd E Ste 3-207",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983748848",
"country_code": "US",
"telephone_number": "253-841-3933",
"fax_number": "253-848-7970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21600 Highway 99 Ste 260",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980268049",
"country_code": "US",
"telephone_number": "425-774-2650 x7246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N 34th St Ste 101",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981038856",
"country_code": "US",
"telephone_number": "206-838-1777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7114 W Hood Pl",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993366712",
"country_code": "US",
"telephone_number": "509-734-4885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "209 Lilly Rd NE Ste B",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065030",
"country_code": "US",
"telephone_number": "360-413-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11027 Meridian Ave N Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981331705",
"country_code": "US",
"telephone_number": "206-365-4492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11800 NE 128th St Ste 100",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980347208",
"country_code": "US",
"telephone_number": "425-899-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRILLANA",
"first_name": "RENISSE TRECIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61342922",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.2812",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2292214",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.