Trina Sue Thursby, ARNP, BSN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP3307162 Issued in FL

Practice address

1241 Northview Dr
Crestview, FL 32536-2216

Phone

(850) 000-0000

NPI assigned

Oct 23, 2007

Last updated

Apr 18, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1295924579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 NORTHVIEW DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 NORTHVIEW DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362216",
            "telephone_number": "850-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSBY",
        "first_name": "TRINA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3307162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002592900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karrie Thompson, DPT
• Kayla Nicole Thompson, RBT
• Tommy Glen Thompson II, M.D.
• Mary Kathryn Thomsen, MS, CF-SLP
• Keisha Thornton
• E A Tillman, DMD
• Mary-Ellen Dorathy Katrina Tinnerello, APRN
• Debby Torres, M.S., CCC-SLP
• Kiz Tosi
• Nicole Toti

• Pediatric Nurse Practitioner in Crestview, FL
• Providers in Crestview, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.