Individual provider Active NPI

Nicole Gendron-Trainer, CNS-BC, DNP

  • Acute Care Clinical Nurse Specialist
  • Gainesville, VA
National Provider Identifier
1265120455
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
0024181858 Issued in VA
Practice address
12112 Maidenhair Dr
Gainesville, VA 20155-3871
Phone
(571) 277-2533
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 0024181858 VA Primary

Addresses

Primary practice location

12112 Maidenhair Dr
Gainesville, VA 20155-3871

Mailing address

12112 Maidenhair Dr
Gainesville, VA 20155-3871
Phone (571) 277-2533

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

State licenses

LicenseStateTypeSpecialty
0024181858VAMDAcute Care Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1265120455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 MAIDENHAIR DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553871",
            "telephone_number": "571-277-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 MAIDENHAIR DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553871",
            "telephone_number": "571-277-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDRON-TRAINER",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "CNS-BC, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "VA",
            "license": "0024181858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.