Individual provider Active NPI

Rachel Katherine Trimm-Scarbrough, FNP

  • Family Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1215176706
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R870701 Issued in MS
Practice address
580 Friars Point Rd
Clarksdale, MS 38614-9734
Phone
(662) 624-4316
Fax
(662) 621-1151
NPI assigned
Feb 6, 2009
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R870701 MS Primary

Addresses

Primary practice location

580 Friars Point Rd
Clarksdale, MS 38614-9734

Mailing address

785 Ohio Ave
Suite 3G
Clarksdale, MS 38614-6217
Phone (662) 624-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea L. Smith MD Current Accepting new patients
Clarksdale Hma Physician Management LLC Past Accepting new patients

Locations

785 Ohio Ave
Ste 1D
Clarksdale, MS 38614
Phone (662) 624-5464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1215176706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 3G",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-624-8000",
            "fax_number": "662-627-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FRIARS POINT RD",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149734",
            "telephone_number": "662-624-4316",
            "fax_number": "662-621-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMM-SCARBROUGH",
        "first_name": "RACHEL",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.