Individual provider Active NPI

Trinia S Williams, NURSE PRACTITIONER

  • Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1598269599
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175458 Issued in VA
Practice address
4106 Portsmouth Blvd Ste a
Portsmouth, VA 23701-2968
Phone
(757) 393-1136
Fax
(757) 698-2499
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 0024175458 VA
Nurse Practitioner 363L00000X 0024175458 VA Primary

Addresses

Primary practice location

4106 Portsmouth Blvd Ste a
Portsmouth, VA 23701-2968

Mailing address

4106 Portsmouth Blvd Ste a
Portsmouth, VA 23701-2968
Phone (757) 393-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180502000048 VA Practitioner - Nurse Practitioner 6204190168 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
PMR Virginia Holding LLCGroup PAC ID 9537576608, 19 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

4106 Portsmouth Blvd
Portsmouth, VA 23701-2968
Phone (757) 393-1136

456 E Main St
Waverly, VA 23890-3237
Phone (540) 814-5344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175458VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Multi-Specialty CurrentSince Nov 15, 2021 Accepting new patients
Universal Health Corporation Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 15, 2021 Accepting new patients
Vituity-Virginia Hospitalists PC Multi-Specialty CurrentSince Mar 25, 2024 Accepting new patients
PMR Virginia Holding, LLC Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC Multi-Specialty PastSince Sep 4, 2012 Accepting new patients
Integrated Medical Services PLC Multi-Specialty Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

4106 Portsmouth Blvd
Ste A
Portsmouth, VA 23701
Phone (757) 393-1136

4106 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 391-2850

3640 High St
Ste 2G
Portsmouth, VA 23707
Phone (757) 483-6100

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

456 E Main St
Waverly, VA 23890
Phone (804) 834-3975

377 Clonce St
Weber City, VA 24290
Phone (276) 386-9444

380 Millwood Ave
Winchester, VA 22601
Phone (540) 667-7010

Organizations & group practices 8

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1598269599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 PORTSMOUTH BLVD STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012968",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 PORTSMOUTH BLVD STE A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012968",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRINIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175458",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.