Individual provider Active NPI

Trina Forney, CRNP

  • Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1376987610
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R125020 Issued in MD
Practice address
201 Pine Bluff Rd
Suite 28
Salisbury, MD 21801-7163
Phone
(410) 742-5599
Fax
(410) 742-4873
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R125020 MD Primary
Nurse Practitioner 363L00000X LG0000676 DE

Addresses

Primary practice location

201 Pine Bluff Rd
Suite 28
Salisbury, MD 21801-7163

Mailing address

201 Pine Bluff Rd
Suite 28
Salisbury, MD 21801-7163
Phone (410) 742-5599

Other identifiers 2

IdentifierTypeStateIssuer
LG0000676OtherDESTATE OF DELAWARE
R125020OtherMDSTATE OF MARYLAND

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

LicenseStateTypeSpecialty
LG0000676DEMDNurse Practitioner
R125020MDMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1376987610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "address_2": "SUITE 28",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-742-5599",
            "fax_number": "410-742-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PINE BLUFF RD",
            "address_2": "SUITE 28",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017163",
            "telephone_number": "410-742-5599",
            "fax_number": "410-742-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "TRINA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R125020",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DELAWARE",
            "identifier": "LG0000676",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND",
            "identifier": "R125020",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.