Aida Trivic, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2005018080 Issued in MO

Practice address

802 Mel Carnahan Dr
Apt 2015
Hillsboro, MO 63050-2427

Phone

(636) 543-2290

Fax

(636) 789-2523

NPI assigned

Nov 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southampton Community Healthcare IncGroup PAC ID 5799218814, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Southampton Community Healthcare Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1013677293
  Medicare reassignment Care Compare group NPD
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  Medicare reassignment NPD
• Boonslick Medical Group Inc

  • Internal Medicine Physician
  • Saint Peters, MO
  • NPI 1588662803
  NPD (past)
• Boonslick Medical Group Inc

  • Diagnostic Radiology Physician
  • Saint Charles, MO
  • NPI 1972666162
  NPD (past)

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

• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Care Compare affiliation
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1386971323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BOONES LICK RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012463",
            "telephone_number": "636-916-8228",
            "fax_number": "636-946-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEL CARNAHAN DR",
            "address_2": "APT 2015",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630502427",
            "telephone_number": "636-543-2290",
            "fax_number": "636-789-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVIC",
        "first_name": "AIDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2005018080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Taber
• Melissa Tate
• Ashlee Nicole Tesson, RDN, LDN
• Emily Thompson
• Jacqueline Toole, LPTA
• Jennifer Tucker, LMSW
• Kevin Marcell Turner, DO
• Lisa M Vasel
• Rhonda J Viars, SLP-A
• Ross Vollmer, DC

• Adult Health Nurse Practitioner in Hillsboro, MO
• Providers in Hillsboro, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.