NPIMap

Organization Active NPI

Trimana

Doing business as Via

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1912348939
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003800 Issued in AR
Legal business name
TRIMANA
Doing business as
Via
Practice address
4000 N College Ave Ste D
Fayetteville, AR 72703-5192
Phone
(479) 966-4999
Fax
(479) 966-4987
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Karla Cardon
Title
Billing Manager
Phone
(479) 966-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003800 AR Primary

Addresses

Primary practice location

4000 N College Ave Ste D
Fayetteville, AR 72703-5192

Mailing address

4000 N College Ave Ste D
Fayetteville, AR 72703-5192
Phone (479) 966-4999

Other names 1

  • VIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trimana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1912348939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N COLLEGE AVE STE D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035192",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N COLLEGE AVE STE D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035192",
            "telephone_number": "479-966-4999",
            "fax_number": "479-966-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-966-7003"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.