Active NPI
Roxanne Kay Trimble, PA-C
- Physician Assistant
- Cody, WY
National Provider Identifier
1275721193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 139
- Practice address
- 1220 Sunshine Ave Ste 101
Cody, WY 82414-4247 - Phone
- (307) 587-5545
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 139 | WY | Primary |
Addresses
Primary practice location
1220 Sunshine Ave Ste 101
Cody, WY 82414-4247
Mailing address
231 W 6TH St
Powell, WY 82435-1898
Phone (307) 754-6442
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
| License | State | Type | Specialty |
|---|---|---|---|
| 139 | WY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1275721193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 W 6TH ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824351898",
"telephone_number": "307-754-6442",
"fax_number": "307-754-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SUNSHINE AVE STE 101",
"city": "CODY",
"state": "WY",
"postal_code": "824144247",
"telephone_number": "307-587-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "ROXANNE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": "139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.