Active NPI
William Kenneth Trimble, CRNA
- Certified Registered Nurse Anesthetist
- Hanover, VA
National Provider Identifier
1083760730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024170056
- Practice address
- 7307 Extreme Way
Hanover, VA 23069-1631 - Phone
- (623) 606-5439
- Fax
- (804) 415-7137
- NPI assigned
- Jan 26, 2007
- Last updated
- May 4, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024170056 | VA | Primary |
Addresses
Primary practice location
7307 Extreme Way
Hanover, VA 23069-1631
Mailing address
7307 Extreme Way
Hanover, VA 23069-1631
Phone (623) 606-5439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493396 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squaw Peak Anesthesia Inc | Past | Accepting new patients | |
| Squaw Peak Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Care for Kids of Arizona | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
dba A Tooth Doctor for Kids-East
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mesa, AZ
- NPI 1689715799
-
- Registered Nurse
- Tempe, AZ
- NPI 1134352925
-
- Certified Registered Nurse Anesthetist
- Sun City, AZ
- NPI 1548359128
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1083760730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7307 EXTREME WAY",
"city": "HANOVER",
"state": "VA",
"postal_code": "230691631",
"telephone_number": "623-606-5439",
"fax_number": "804-415-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 EXTREME WAY",
"city": "HANOVER",
"state": "VA",
"postal_code": "230691631",
"telephone_number": "623-606-5439",
"fax_number": "804-415-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "WILLIAM",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024170056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493396",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.