Individual provider Active NPI

Trina Kay Wood, APRN

  • Gerontology Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1457716284
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
13-117395-072 Issued in KS
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 231-4578
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 13-117395-072 KS Primary

Addresses

Primary practice location

200 SW Frazier Cir
Topeka, KS 66606-2800

Mailing address

200 SW Frazier Cir
Topeka, KS 66606-2800
Phone (785) 231-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160322001448 KS Practitioner - Nurse Practitioner 2567769359 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-117395-072KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Care Connection, Inc. CurrentSince Feb 16, 2016 Accepting new patients
Midland Care Connection, Inc. CurrentSince Feb 16, 2016 Accepting new patients

Locations

200 SW Frazier Cir
Topeka, KS 66606
Phone (785) 232-2044

120 SW Frazier Ave
Topeka, KS 66606
Phone (785) 232-2044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1457716284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-231-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-231-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TRINA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "13-117395-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.