NPIMap

Individual provider Active NPI

Amanda Marie Trolinger, MS, RD, PA-C

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1417267386
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3104 Issued in CO
Practice address
9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115
Phone
(720) 696-0852
Fax
(720) 696-0892
NPI assigned
Oct 13, 2010
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 886074 CO
Physician Assistant 363A00000X 3104 CO Primary

Addresses

Primary practice location

9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115

Mailing address

9777 S Yosemite St Ste 110
Lone Tree, CO 80124-3115
Phone (720) 696-0852

Other practice location 1

1444 S Potomac St Ste 215
Aurora, CO 80012-4533
Phone (720) 500-3439

Other names 1

  • Mandy Georgis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mandy.trolinger.1@19427.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000432 CO Practitioner - Physician Assistant 2466630090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Kidney Care LLCGroup PAC ID 5597170969, 17 clinicians

Practice addresses (Care Compare)

9777 S Yosemite St
Suite 110
Lone Tree, CO 80124-3115
Phone (720) 696-0852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
886074COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Transtreme, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandy.trolinger.1@19427.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1417267386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST STE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243115",
            "telephone_number": "720-696-0852",
            "fax_number": "720-696-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST STE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243115",
            "telephone_number": "720-696-0852",
            "fax_number": "720-696-0892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 S Potomac St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124533",
            "country_code": "US",
            "telephone_number": "720-500-3439",
            "fax_number": "855-712-9183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROLINGER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "886074",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandy.trolinger.1@19427.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9777 S Yosemite St Ste 110",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801243115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "GEORGIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.