Active NPI
Trinka Ayn Douglas, RN, MSN, ACNP-BC
- Acute Care Nurse Practitioner
- N Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3707
- Practice address
- 3815 Faber Place Dr
N Charleston, SC 29405-8533 - Phone
- (843) 767-9312
- Fax
- (843) 767-9313
- NPI assigned
- May 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 666811 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 3707 | SC | Primary |
Addresses
Primary practice location
3815 Faber Place Dr
N Charleston, SC 29405-8533
Mailing address
3815 Faber Place Dr
N Charleston, SC 29405-8533
Phone (843) 767-9312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610001008 | SC | Practitioner - Nurse Practitioner | 4688685282 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Trident Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.85 of 100
- Quality
- 72.99
- Promoting interoperability
- 100
- Improvement activities
- 30
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3707 | SC | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Trident Cardiology Associates, PA | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Arrhythmia Specialists of Charleston | Past | Accepting new patients | |
| Heart Center of North Texas, PA | Past | Accepting new patients | |
| Roper Hospital Inc. | Past | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
3601 Ladson Rd
Ste 100
Ladson, SC 29456
Phone (843) 285-2500
2000 1st Ave
Summerville, SC 29486
Phone (843) 876-7930
Interoperability endpoints
- trinka.douglas@hca5.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/13532/brand/1/csg/1/fhir/r4
- tdouglas226601@direct.musc.edu
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
SC
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- Medical Specialty Clinic/Center
- Charleston, SC
- NPI 1164690947
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
-
- Cardiovascular Disease Physician
- Stephenville, TX
- NPI 1407065543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1639123268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 FABER PLACE DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294058533",
"telephone_number": "843-767-9312",
"fax_number": "843-767-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 FABER PLACE DR",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294058533",
"telephone_number": "843-767-9312",
"fax_number": "843-767-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "TRINKA",
"middle_name": "AYN",
"credential": "RN, MSN, ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "666811",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "3707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.