Individual provider Active NPI

Paula Josette Trunnell, ARNP

  • Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1386697829
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11001904 Issued in FL
Practice address
3098 Forest Hill Blvd Unit 1
Palm Springs, FL 33406-5940
Phone
(561) 968-7600
Fax
(561) 968-0443
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30003872 WA
Nurse Practitioner 363L00000X 852920 TX
Nurse Practitioner 363L00000X AP125533 TX
Nurse Practitioner 363L00000X 11001904 FL Primary

Addresses

Primary practice location

3098 Forest Hill Blvd Unit 1
Palm Springs, FL 33406-5940

Mailing address

3098 Forest Hill Blvd Unit 1
Palm Springs, FL 33406-5940
Phone (561) 968-7600

Other identifiers 1

IdentifierTypeStateIssuer
9617259MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190927000030 FL Practitioner - Nurse Practitioner 9739122276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Community Hospital AssociationGroup PAC ID 1658280896, shared by 9 NPIs, 57 clinicians
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1013 E Edison Ave
Sunnyside, WA 98944
Phone (509) 837-1837

1812 E Edison Ave
Sunnyside, WA 98944
Phone (509) 712-3295

9955 Lake Worth Rd
Lake Worth, FL 33467-2303
Phone (561) 227-7540

PO Box
Sunnyside, WA 98944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001904FLMDNurse Practitioner
852920TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 26, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 26, 2024 Accepting new patients
Forest Hill Medical Group LLC CurrentSince Jun 5, 2023 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Minimally Invasive Spine Center LLC PastSince Jul 29, 2019 Accepting new patients
Forest Hill Physician Group, Inc. PastSince Jun 5, 2023 Accepting new patients

Locations

2240 W Woolbright Rd
Ste 317
Boynton Beach, FL 33426
Phone (561) 200-0047

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

9955 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 227-7540

3098 Forest Hill Blvd
Unit 1
Palm Springs, FL 33406
Phone (561) 968-7600

3098 Forest Hill Blvd
Palm Springs, FL 33406
Phone (561) 968-7600

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCBCD

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1386697829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 FOREST HILL BLVD UNIT 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065940",
            "telephone_number": "561-968-7600",
            "fax_number": "561-968-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 FOREST HILL BLVD UNIT 1",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065940",
            "telephone_number": "561-968-7600",
            "fax_number": "561-968-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNNELL",
        "first_name": "PAULA",
        "middle_name": "JOSETTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003872",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "852920",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125533",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11001904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9617259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.