Dora D. Trivette, RN, APN
Individual provider Active NPI Family Nurse Practitioner · Ocoee, TN
NPI 1376947085 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1376947085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000019048 (TN)
- Practice address
- 119 White Water Dr
Ocoee, TN 37361-3645 - Phone
- (423) 299-9435
- NPI assigned
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
-
Alan L Crews, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150211001314 | TN | Practitioner - Nurse Practitioner | 2668797804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000019048 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Clifford Ford MD | Past | Accepting new patients | |
| Jeff Hall Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000019048 | TN | Yes |
Addresses
Primary practice location
119 White Water Dr
Ocoee, TN 37361-3645
Mailing address
119 White Water Dr
Ocoee, TN 37361-3645
Phone (423) 299-9435
Other providers in Ocoee, TN
- Ocoee Pharmacy, Inc
- Kimberly Peak
- Preferred Oxygen LLC
- Samuel Randolph
- Jeremy Swallows
- Kaitlin Weeks
- Xplore Recovery - Ocoee River LLC
All providers in Ocoee, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.