Individual provider Active NPI

Deborah Trenfield

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1285032086
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9201843 Issued in FL
Practice address
635 NW 210TH St
#103
Miami, FL 33169-7022
Phone
(786) 201-1571
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 9201843 FL Primary

Addresses

Primary practice location

635 NW 210TH St
#103
Miami, FL 33169-7022

Mailing address

635 NW 210TH St
#103
Miami, FL 33169-7022
Phone (786) 201-1571

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150529001926 FL Practitioner - Nurse Practitioner 5799006987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Gold Diagnostics CorpGroup PAC ID 2961802699, 2 clinicians
Primary Care Solutions Jacksonville LLCGroup PAC ID 9739553207, 13 clinicians

Practice addresses (Care Compare)

3440 Hollywood Blvd
Suite 415
Hollywood, FL 33021-6933
Phone (281) 912-3264

42 Davin CT
Ponte Vedra Beach, FL 32082-1840
Phone (904) 490-0264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9201843FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Diagnostics Corp CurrentSince Nov 2, 2022 Accepting new patients
Skylake Medical Associates PLLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

3440 Hollywood Blvd
Ste 415
Hollywood, FL 33021
Phone (281) 912-3264

1380 NE Miami Gardens Dr
Ste 280
North Miami Beach, FL 33179
Phone (305) 735-2022

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1285032086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 NW 210TH ST",
            "address_2": "#103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331697022",
            "telephone_number": "786-201-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 NW 210TH ST",
            "address_2": "#103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331697022",
            "telephone_number": "786-201-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENFIELD",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9201843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.