Individual provider Active NPI

Janette E Trent, NP

  • Nurse Practitioner
  • Highlands Ranch, CO
National Provider Identifier
1699798967
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223496 Issued in AZ
Practice address
300 Plaza Dr
Suite 275
Highlands Ranch, CO 80129-2369
Phone
(317) 523-9191
Fax
(317) 776-1999
NPI assigned
Jul 26, 2006
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71002145A IN
Nurse Practitioner 363L00000X 223496 AZ Primary

Addresses

Primary practice location

300 Plaza Dr
Suite 275
Highlands Ranch, CO 80129-2369

Mailing address

300 Plaza Dr
Suite 275
Highlands Ranch, CO 80129-2369
Phone (317) 523-9191

Other names 1

  • Janette E Roddel Former name

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
I20200826000904 AZ Practitioner - Nurse Practitioner 9537064084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Care Wound Clinic PLLCGroup PAC ID 7719429992, 2 clinicians

Practice addresses (Care Compare)

10147 Grand Ave
C4
Sun City, AZ 85351-3435
Phone (480) 588-5464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223496AZMDNurse Practitioner
71002145AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1St Care Medical Clinic CurrentSince Apr 1, 2024 Accepting new patients
1St Care Wound Clinic PLLC Nurse Practitioner CurrentSince Apr 22, 2024 Accepting new patients
Mobileonedocs, LLC CurrentSince Jan 1, 2023 Accepting new patients
Mobileonedocs, LLC CurrentSince Jan 1, 2023 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC CurrentSince Apr 1, 2022 Accepting new patients
Decatur Vein Clinic, Michigan, PC Past Accepting new patients
Decatur Vein Clinic Hobart, PC Past Accepting new patients
Decatur Vein Clinic, Michigan, PC Past Accepting new patients
Respiratory & Critical Care Consultants P C Past Accepting new patients

Locations

637 E Main St
Mesa, AZ 85203
Phone (480) 272-8877

637 E Main St
Ste B
Mesa, AZ 85203
Phone (480) 588-5464

1635 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 529-5960

10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877

10147 Grand Ave
#C4
Sun City, AZ 85351
Phone (480) 588-5464

10147 Grand Ave
Ste C4
Sun City, AZ 85351
Phone (480) 588-5464

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

Interoperability endpoints

  • Direct secure messaging: 1stcarewoundclinic.janettetrent@158385.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1699798967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PLAZA DR",
            "address_2": "SUITE 275",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292369",
            "telephone_number": "317-523-9191",
            "fax_number": "317-776-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA DR",
            "address_2": "SUITE 275",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292369",
            "telephone_number": "317-523-9191",
            "fax_number": "317-776-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "JANETTE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71002145A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "223496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANETTE",
            "last_name": "RODDEL",
            "middle_name": "E",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.