Individual provider Active NPI

Debra Trimble, PHD, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1720165566
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
542207 Issued in TX
Practice address
2015 Thomas Street
Room 201B
Houston, TX 77009
Phone
(713) 873-4105
Fax
(713) 873-4106
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 542207 TX Primary

Addresses

Primary practice location

2015 Thomas Street
Room 201B
Houston, TX 77009

Mailing address

One Baylor Plaza
Mailstop: Bcm286
Houston, TX 77030
Phone (713) 873-4105

Other identifiers 1

IdentifierTypeStateIssuer
09273672OtherTXTX DRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
542207TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Houston Area Community Services, Inc. Family Past Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1720165566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA",
            "address_2": "MAILSTOP: BCM286",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-873-4105",
            "fax_number": "711-387-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 THOMAS STREET",
            "address_2": "ROOM 201B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77009",
            "telephone_number": "713-873-4105",
            "fax_number": "713-873-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "DEBRA",
        "credential": "PHD, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "542207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DRIVERS LICENSE",
            "identifier": "09273672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.