Individual provider Active NPI

Sandra L. Trivino, FNP-BC

  • Acute Care Nurse Practitioner
  • Sellersville, PA
National Provider Identifier
1518653971
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP026989 Issued in PA
Practice address
700 Lawn Ave
Sellersville, PA 18960-1548
Phone
(215) 453-4139
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026989 PA
Acute Care Nurse Practitioner 363LA2100X SP026989 PA Primary

Addresses

Primary practice location

700 Lawn Ave
Sellersville, PA 18960-1548

Mailing address

849 Wynnefield Dr
Souderton, PA 18964-1034
Phone (215) 290-7035

Other practice location 1

325 W Germantown Pike Ste 301
East Norriton, PA 19403-4207
Phone (610) 275-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230427001932 PA Practitioner - Nurse Practitioner 2365807237 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026989PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Pulmonary and Sleep Consultants PC CurrentSince Apr 1, 2023 Accepting new patients
Clinical Specialty Associates CurrentSince Dec 13, 2025 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

325 W Germantown Pike
Ste 301
Norristown, PA 19403
Phone (610) 275-2446

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1518653971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 WYNNEFIELD DR",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641034",
            "telephone_number": "215-290-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548",
            "telephone_number": "215-453-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Germantown Pike Ste 301",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034207",
            "country_code": "US",
            "telephone_number": "610-275-2446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVINO",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026989",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP026989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.