Active NPI
Kathleen Trummer, PA
- Medical Physician Assistant
- Wellington, FL
National Provider Identifier
1235530320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102588
- Practice address
- 2257 Balsan Way
Wellington, FL 33414-6435 - Phone
- (561) 795-5545
- NPI assigned
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102588 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | 008172 | NY |
Addresses
Primary practice location
2257 Balsan Way
Wellington, FL 33414-6435
Mailing address
2257 Balsan Way
Wellington, FL 33414-6435
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008172 | NY | MD | Mental Health Counselor |
| PA9102588 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1235530320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 BALSAN WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2257 BALSAN WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146435",
"telephone_number": "561-795-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMMER",
"first_name": "KATHLEEN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102588",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "008172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.