Individual provider Active NPI

Trina Louise Bury, NP

  • Adult Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1871092569
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
279982 Issued in AZ
Practice address
3621 E Kimball CT
Gilbert, AZ 85297-9428
Phone
(801) 623-8788
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6307945-4405 UT
Adult Health Nurse Practitioner 363LA2200X 279982 AZ Primary

Addresses

Primary practice location

3621 E Kimball CT
Gilbert, AZ 85297-9428

Mailing address

3621 E Kimball CT
Gilbert, AZ 85297-9428
Phone (801) 623-8788

Other practice location 1

76 W Guadalupe Rd
Gilbert, AZ 85233-3349
Phone (480) 690-8276

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
I20221031000805 AZ Practitioner - Nurse Practitioner 2466716345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Sep 15, 2022 Accepting new patients

Locations

76 W Guadalupe Rd
Gilbert, AZ 85233
Phone (480) 690-8276

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (480) 699-2222

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: trina.bury.1@19654.direct.athenahealth.com

Organizations & group practices 1

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1871092569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 E KIMBALL CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979428",
            "telephone_number": "801-623-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 E KIMBALL CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979428",
            "telephone_number": "801-623-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 W Guadalupe Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852333349",
            "country_code": "US",
            "telephone_number": "480-690-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURY",
        "first_name": "TRINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "6307945-4405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "279982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.