Trena Phillips, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP59395 Issued in ID

Practice address

502 Tyhee Ave
American Falls, ID 83211-1224

Phone

(208) 226-3200

NPI assigned

Aug 3, 2018

Last updated

Apr 26, 2019By the provider in NPPES

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 ID

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care of Idaho LLCGroup PAC ID 8527381136, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• Urgent Care of Idaho, LLC

  dba Urgent Care of Jerome

  • Urgent Care Clinic/Center
  • Jerome, ID
  • NPI 1538578687
  Medicare reassignment Care Compare group NPD
• River View Urgent Care & Medical Center Inc

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1790043693
  Medicare reassignment NPD
• Urgent Care of Idaho, LLC

  dba Urgent Care of Idaho - Burley

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1841972122
  NPD

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1255819942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ROOSEVELT ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111362",
            "telephone_number": "208-226-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 TYHEE AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111224",
            "telephone_number": "208-226-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "American Falls",
            "state": "ID",
            "postal_code": "832111362",
            "country_code": "US",
            "telephone_number": "208-226-1057 x503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 S MAIN ST",
            "address_purpose": "LOCATION",
            "city": "ABERDEEN",
            "state": "ID",
            "postal_code": "83210",
            "country_code": "US",
            "telephone_number": "208-226-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TRENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "CNP59395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Michaelson, BA
• Gregory Allen Miller, D.D.S.
• Ronald K. Miller, D.D.S.
• Northwest Therapy Services, Inc.
• Linda Parrish, CCC-SLP
• Power County Dental Clinic
• Power County Hospital
• Power County Hospital
• Power County Hospital District
• Power County Hospital District

• Family Nurse Practitioner in American Falls, ID
• Providers in American Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.