Nicole Kristine Trio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7 Indian Harbour CT
Indian Harbour Beach, FL 32937-3618

Phone

(321) 271-1249

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Emergency Physicians Inc

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1285686675
  Medicare reassignment
• Emergency Physicians Inc

  • Emergency Medicine Physician
  • Brunswick, GA
  • NPI 1477001972
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1245949650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 INDIAN HARBOUR CT",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373618",
            "telephone_number": "321-271-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDIAN HARBOUR CT",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373618",
            "telephone_number": "321-271-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIO",
        "first_name": "NICOLE",
        "middle_name": "KRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luann Kay Thompson, BSW
• Theresa Lynn Thompson, RMHCI
• Timothy C. Lang, DDS, MD, PA
• Inez Maria Tinsley-Dalton, M.D.
• Kim Ann Triebell, PHARMD
• Crystal Turman, LCSW
• Adrian Elaine Tuttle, FNP
• Amber Tuttle
• Jessica Tyson-Dumbiri
• Maria Uriondo, SLP

• Physician Assistant in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.