Individual provider Active NPI

Trisha Lynne Smith, APRN

  • Family Nurse Practitioner
  • Auburn, CA
National Provider Identifier
1255737391
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001695 Issued in CA
Practice address
13555 Bowman Rd
Suite 100
Auburn, CA 95603-3156
Phone
(530) 885-3951
NPI assigned
Nov 18, 2014
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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 95001695 CA Primary

Addresses

Primary practice location

13555 Bowman Rd
Suite 100
Auburn, CA 95603-3156

Mailing address

13555 Bowman Rd
Suite 100
Auburn, CA 95603-3156
Phone (530) 885-3951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240105003370 CA Practitioner - Nurse Practitioner 9830498120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Complete Care IncGroup PAC ID 7113119454, 10 clinicians

Practice addresses (Care Compare)

13555 Bowman Rd
Suite 100
Auburn, CA 95603-3197
Phone 5308853951113

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Complete Care, Inc. CurrentSince Sep 26, 2023 Accepting new patients

Locations

13555 Bowman Rd
Ste 100
Auburn, CA 95603
Phone (530) 885-3951

23000 Foresthill Rd
Foresthill, CA 95631
Phone (530) 367-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8214/brand/1/csg/1/fhir/r4
  • Direct secure messaging: trisha.smith.1@8214.direct.athenahealth.com

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

Hospital & facility affiliations 4

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1255737391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033156",
            "telephone_number": "530-885-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 BOWMAN RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033156",
            "telephone_number": "530-885-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISHA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.