Individual provider Active NPI

Trevon Jarrod Friar, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1689291726
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11007913 Issued in FL
Practice address
11968 Balm Riverview Rd
Riverview, FL 33569-6601
Phone
(813) 819-3335
Fax
(866) 885-1512
NPI assigned
Jul 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007913 FL Primary

Addresses

Primary practice location

11968 Balm Riverview Rd
Riverview, FL 33569-6601

Mailing address

11412 Acacia Grove LN
Riverview, FL 33579-8412
Phone (386) 299-0045

Other practice location 1

2901 W Swann Ave
Tampa, FL 33609-4057
Phone (813) 512-4742

Other identifiers 1

IdentifierTypeStateIssuer
108148000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200807000429 FL Practitioner - Nurse Practitioner 8921423971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Friar Psychiatric Services LLCGroup PAC ID 2860885696, 5 clinicians

Practice addresses (Care Compare)

11968 Balm Riverview Rd
Riverview, FL 33569-6601
Phone (813) 819-3335

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Aug 3, 2020 Accepting new patients
Friar Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Oct 18, 2021 Accepting new patients
Forefront Telecare Inc CurrentSince Sep 17, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

1465 Oakfield Dr
Brandon, FL 33511
Phone (813) 505-4402

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

11968 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 677-9629

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 4

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": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1689291726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 ACACIA GROVE LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335798412",
            "telephone_number": "386-299-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11968 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-819-3335",
            "fax_number": "866-885-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094057",
            "country_code": "US",
            "telephone_number": "813-512-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIAR",
        "first_name": "TREVON",
        "middle_name": "JARROD",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2024-01-31",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108148000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.