Active NPI
Dana Leigh Trame, FNP
- Family Nurse Practitioner
- Trenton, IL
National Provider Identifier
1538649967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.002122
- Practice address
- 25 W Broadway
Trenton, IL 62293-1303 - Phone
- (618) 368-2280
- Fax
- (618) 368-2281
- NPI assigned
- Aug 15, 2018
- Last updated
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.002122 | IL | Primary |
Addresses
Primary practice location
25 W Broadway
Trenton, IL 62293-1303
Mailing address
25 W Broadway
Trenton, IL 62293-1303
Phone (618) 368-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.002122 | IL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1538649967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W BROADWAY",
"city": "TRENTON",
"state": "IL",
"postal_code": "622931303",
"telephone_number": "618-368-2280",
"fax_number": "618-368-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W BROADWAY",
"city": "TRENTON",
"state": "IL",
"postal_code": "622931303",
"telephone_number": "618-368-2280",
"fax_number": "618-368-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAME",
"first_name": "DANA",
"middle_name": "LEIGH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.002122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.