Individual provider Active NPI

Mami Trollope, AGNP-C

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1588412480
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224023 Issued in AZ
Practice address
3489 S Mercy Rd
Gilbert, AZ 85297-0431
Phone
(480) 646-8433
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224023 AZ Primary

Addresses

Primary practice location

3489 S Mercy Rd
Gilbert, AZ 85297-0431

Mailing address

3489 S Mercy Rd
Gilbert, AZ 85297-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241209000560 AZ Practitioner - Nurse Practitioner 5193251635 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224023AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Diabetes and Endocrinology, PLC CurrentSince Jun 17, 2024 Accepting new patients
Valley Heart Associates PC CurrentSince Jun 17, 2024 Accepting new patients

Locations

2925 E Riggs Rd
Ste 8123
Chandler, AZ 85249

3489 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 646-8433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15319/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFCD

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1588412480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970431",
            "telephone_number": "480-646-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLLOPE",
        "first_name": "MAMI",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "224023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.