Organization Active NPI

Trifecta Care

  • Adult Health Nurse Practitioner
  • White Hall, AR
National Provider Identifier
1386269561
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
TRIFECTA CARE
Practice address
207 Frankie LN
White Hall, AR 71602-2683
Phone
(870) 209-2676
Fax
(870) 341-6217
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Rhonda F Coleman, APRN, DNPNPI 1952052375
Title
Administrator
Phone
(870) 395-1285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

207 Frankie LN
White Hall, AR 71602-2683

Mailing address

PO Box 21194
White Hall, AR 71612
Phone (870) 395-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102003805 AR Part B Supplier - Clinic/Group Practice 3072040047 Receives reassigned benefits from 1 practitioner
Practice locations: White Hall, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2277415Trifecta Care LLC207 Frankie LN, White Hall, AR 71602Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Trifecta Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1386269561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21194",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "71612",
            "telephone_number": "870-395-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022683",
            "telephone_number": "870-209-2676",
            "fax_number": "870-341-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFECTA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-395-1285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.