Individual provider Active NPI

Tamara Risen-Trinder, ARNP

  • Pediatric Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1932217833
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CO78263 Issued in IA
Practice address
330 Laurel St
Suite 2100
Des Moines, IA 50314-3034
Phone
(515) 643-8611
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X CO78263 IA Primary

Addresses

Primary practice location

330 Laurel St
Suite 2100
Des Moines, IA 50314-3034

Mailing address

PO Box 1475
Des Moines, IA 50305-1475

Other identifiers 1

IdentifierTypeStateIssuer
0446310MedicaidIA

Other names 1

  • Tamara Risen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20110503000350 IA Practitioner - Nurse Practitioner 3870778012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO78263IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics Inc CurrentSince Apr 1, 2011 Accepting new patients
Mercy Clinics, Inc Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

330 Laurel St
Ste 2100
Des Moines, IA 50314
Phone (515) 358-6500

5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466

Interoperability endpoints

  • Direct secure messaging: trisentrinder3955969@direct.trinity-health.org

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1932217833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-643-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISEN-TRINDER",
        "first_name": "TAMARA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "CO78263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446310",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "RISEN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.