Individual provider Active NPI

Judy T Trenary, NP

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1245349778
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R850607 Issued in MS
Practice address
1913 Highway 45 N
Columbus, MS 39705-1950
Phone
(662) 328-1918
Fax
(662) 328-7898
NPI assigned
Aug 29, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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 R850607 MS Primary

Addresses

Primary practice location

1913 Highway 45 N
Columbus, MS 39705-1950

Mailing address

1913 Highway 45 N
Columbus, MS 39705-1950
Phone (662) 328-1918

Other identifiers 1

IdentifierTypeStateIssuer
05377813MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20061006000610 MS Practitioner - Nurse Practitioner 1557367968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weekends Plus Urgent Care LLCGroup PAC ID 6608151683, 6 clinicians

Practice addresses (Care Compare)

3189 High Way 45
Suite H
Columbus, MS 39705-1251
Phone (662) 570-4507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R850607MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weekends Plus Urgent Care LLC CurrentSince Jan 3, 2017 Accepting new patients
Columbus Emergency Services, LLC Past Accepting new patients

Locations

3189 Highway 45 N
#H
Columbus, MS 39705
Phone (662) 240-2975

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16677/brand/1/csg/1/fhir/r4
  • Direct secure messaging: judy.trenary.1@16677.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1245349778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051950",
            "telephone_number": "662-328-1918",
            "fax_number": "662-328-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051950",
            "telephone_number": "662-328-1918",
            "fax_number": "662-328-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENARY",
        "first_name": "JUDY",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05377813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.