Individual provider Active NPI

Barbara Ann Trunzo, DNP

  • Pediatric Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1336146356
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1738892 Issued in FL
Practice address
1555 Kingsley Ave Ste 601
Orange Park, FL 32073-9207
Phone
(904) 264-0264
Fax
(904) 278-0437
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1738892 FL Primary

Addresses

Primary practice location

1555 Kingsley Ave Ste 601
Orange Park, FL 32073-9207

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

Other identifiers 1

IdentifierTypeStateIssuer
018096200MedicaidFL

Other names 1

  • Ms. Barbara Ann Forster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1738892FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Aug 1, 2016 Accepting new patients
Physicians Group Services PA CurrentSince Aug 1, 2016 Accepting new patients
Physicians Group Services PA Pediatrics Current Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

14011 Beach Blvd
Ste 120
Jacksonville Beach, FL 32250
Phone (904) 223-6400

1909 Beach Blvd
Ste 102
Jax Bch, FL 32250
Phone (904) 246-2752

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

1555 Kingsley Ave
Ste 601
Orange Park, FL 32073
Phone (904) 264-0264

Interoperability endpoints

  • Direct secure messaging: barbara.trunzo.1@25110.direct.athenahealth.com

Organizations & group practices 4

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1336146356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE STE 601",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320739207",
            "telephone_number": "904-264-0264",
            "fax_number": "904-278-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNZO",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "1738892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018096200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "FORSTER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.