Individual provider Active NPI

Trevor Nolan Cable

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, VA
National Provider Identifier
1376146241
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
622 Raleigh Ave Apt 4
Norfolk, VA 23507-2034
Phone
(757) 713-3433
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

622 Raleigh Ave Apt 4
Norfolk, VA 23507-2034

Mailing address

PO Box 5271
Williamsburg, VA 23188-5204
Phone (757) 713-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210927002704 VA Practitioner - Physician Assistant 2769889187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

120 Kings Way
Williamsburg, VA 23185-2511

1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2250

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8899

7544 Hospital Dr
Suite 202
Gloucester, VA 23061-4178
Phone (804) 694-5553

7552 Hospital Dr
Suite 302
Gloucester, VA 23061-4178
Phone (804) 693-9062

7554 Hospital Dr
Suite D 303
Gloucester, VA 23061-4178
Phone (804) 693-3400

7560 Hospital Dr
Suite 101
Gloucester, VA 23061-4178
Phone (804) 693-0529

7580 Hospital Dr
Suite 201
Gloucester, VA 23061-4178
Phone (804) 695-8592

7590 Hospital Dr
Suite C 204
Gloucester, VA 23061-4178
Phone (804) 693-5560

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Sep 7, 2021 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 7, 2021 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

7552 Hospital Dr
#302
Gloucester, VA 23061
Phone (804) 693-6720

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

120 Kings Way
Ste 3300
Williamsburg, VA 23185
Phone (757) 221-0750

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1376146241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5271",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885204",
            "telephone_number": "757-713-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 RALEIGH AVE APT 4",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072034",
            "telephone_number": "757-713-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLE",
        "first_name": "TREVOR",
        "middle_name": "NOLAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.