Organization Active NPI

Trusted Health and Wellness LLC

  • Primary Care Clinic/Center
  • Nashville, AR
National Provider Identifier
1851048037
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRUSTED HEALTH AND WELLNESS LLC
Practice address
116 S Main St
Nashville, AR 71852-2406
Phone
(870) 455-0256
NPI assigned
Mar 7, 2022
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Sharonda Miller, NURSE PRACTITIONERNPI 1629532122
Title
Family Nurse Practitioner
Phone
(870) 703-3034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

116 S Main St
Nashville, AR 71852-2406

Mailing address

899 Martin Luther King Jr Dr
Mineral Springs, AR 71851-9044
Phone (870) 703-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807004005 AR Part B Supplier - Clinic/Group Practice 3870954852 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2285942Trusted Health and Wellness LLC116 S Main Street, Nashville, AR 71852Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

103 S Main St
Nashville, AR 71852

116 S Main St
Nashville, AR 71852
Phone (870) 455-0256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1851048037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 MARTIN LUTHER KING JR DR",
            "city": "MINERAL SPRINGS",
            "state": "AR",
            "postal_code": "718519044",
            "telephone_number": "870-703-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522406",
            "telephone_number": "870-455-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "870-703-3034",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.