Individual provider Active NPI

Pamela Ann Trent, DNP, FNP-BC

  • Family Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1568020469
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26152 Issued in TN
Practice address
951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560
Phone
(772) 217-4557
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178664 VA
Family Nurse Practitioner 363LF0000X RN263038 GA
Family Nurse Practitioner 363LF0000X 22903 SC
Family Nurse Practitioner 363LF0000X 26152 TN Primary

Addresses

Primary practice location

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Mailing address

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Other practice location 1

133 Arch St Ste 7
Redwood City, CA 94062
Phone (772) 217-4557

Other practice location 2

133 Arch St Ste 7
Redwood City, CA 94062
Phone (772) 217-4557

Other practice location 3

1301 Dorchester Rd Ste 117
Chattanooga, TN 37405-4432
Phone (866) 389-2727

Other practice location 4

1201 Hays St
Tallahassee, FL 32301-2699
Phone (772) 217-4557

Other practice location 5

40 Technology Pkwy S Ste 300
Norcross, GA 30092-2924
Phone (772) 217-4557

Other practice location 6

2908 Poston Ave
Nashville, TN 37203-1309
Phone (772) 217-4557

Other practice location 7

1703 Laurel St
Columbia, SC 29201-2660
Phone (772) 217-4557

Other practice location 8

100 Shockoe Slip Fl 2
Richmond, VA 23219-4100
Phone (772) 217-4557

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

State licenses

LicenseStateTypeSpecialty
RN263038GAMDFamily Nurse Practitioner
0024178664VAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pamela.trent@91098514915332.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1568020469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "772-217-4557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Arch St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "94062",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Arch St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "94062",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Dorchester Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374054432",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Technology Pkwy S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922924",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2908 Poston Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031309",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012660",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Shockoe Slip Fl 2",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232194100",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENT",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN263038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.