Active NPI
Tara Trinrud Augustine, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1235468356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2887792
- Practice address
- 4024 Central Ave
St Petersburg, FL 33711-1239 - Phone
- (727) 327-7656
- NPI assigned
- Dec 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2887792 | FL | Primary |
Addresses
Primary practice location
4024 Central Ave
St Petersburg, FL 33711-1239
Mailing address
9100 MLK Jr St N
1107
St Petersburg, FL 33702-3041
Phone (727) 804-3084
Other names 1
- Tara Kay Trinrud
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170405000818 | FL | Order and Referring Only - Nurse Practitioner | 5294912952 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2887792 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatry, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1184765018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1235468356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 MLK JR ST N",
"address_2": "1107",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337023041",
"telephone_number": "727-804-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "TARA",
"middle_name": "TRINRUD",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-19",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "2887792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "TRINRUD",
"middle_name": "KAY",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.