Individual provider Active NPI

Trina Llewellyn, NP

  • Women's Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1093722969
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP2370 Issued in AZ
Practice address
9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503
Phone
(602) 867-2690
Fax
(602) 404-1904
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP2370 AZ Primary

Addresses

Primary practice location

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503

Mailing address

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503
Phone (602) 867-2690

Other identifiers 2

IdentifierTypeStateIssuer
RN138371OtherAZRN
387644MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20150216001385 AZ Practitioner - Nurse Practitioner 6204151210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

9377 E Bell Rd
Suite 143
Scottsdale, AZ 85260-1503
Phone (602) 867-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2370AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Dec 15, 2023 Accepting new patients
Cornerstone Womens Care PC CurrentSince Nov 21, 2014 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

15255 N 40th St
Ste 105
Phoenix, AZ 85032
Phone (602) 867-2690

9500 E Ironwood Square Dr
Ste 124
Scottsdale, AZ 85258
Phone (480) 767-0010

9377 E Bell Rd
Ste 143
Scottsdale, AZ 85260
Phone (480) 619-4097

Interoperability endpoints

  • Direct secure messaging: trina.llewellyn.1@14294.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1093722969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "602-867-2690",
            "fax_number": "602-404-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "602-867-2690",
            "fax_number": "602-404-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "TRINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP2370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN138371",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387644",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.