Active NPI
Trina W Owens
- Acute Care Nurse Practitioner
- Jacksonville, NC
National Provider Identifier
1306861786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 201625
- Practice address
- 114 Memorial Dr Ste a
Jacksonville, NC 28546-6328 - Phone
- (910) 353-0700
- Fax
- (910) 353-5305
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 201625 | NC | Primary |
Addresses
Primary practice location
114 Memorial Dr Ste a
Jacksonville, NC 28546-6328
Mailing address
PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8326
Other practice location 1
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201625 | NC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amm Healthcare, PA | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Past | Accepting new patients | |
| Family Care Clinic, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- Cary, NC
- NPI 1528639689
-
- Clinic/Center
- Jacksonville, NC
- NPI 1316033590
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1306861786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986513",
"address_2": "DEPARTMENT 100",
"city": "BOSTON",
"state": "MA",
"postal_code": "022986513",
"telephone_number": "910-219-8326",
"fax_number": "910-939-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MEMORIAL DR STE A",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466328",
"telephone_number": "910-353-0700",
"fax_number": "910-353-5305"
}
],
"practiceLocations": [
{
"address_1": "120 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0581",
"fax_number": "910-353-1351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWENS",
"first_name": "TRINA",
"middle_name": "W",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "201625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.