Individual provider Active NPI

Carrie Elizabeth Trubia, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Livonia, NY
National Provider Identifier
1962645010
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403076 Issued in NY
Practice address
30 Commercial St Ste 4
Livonia, NY 14487-9112
Phone
(585) 733-6472
NPI assigned
Apr 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 22566905 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403076 NY Primary

Addresses

Primary practice location

30 Commercial St Ste 4
Livonia, NY 14487-9112

Mailing address

20 Linden St
Livonia, NY 14487-9735
Phone (585) 733-6472

Other practice location 1

20 Linden St
Livonia, NY 14487-9735
Phone (585) 346-3377

Other identifiers 1

IdentifierTypeStateIssuer
06262019MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201110001951 NY Practitioner - Nurse Practitioner 1759791312 Reassigns benefits to 2 organizations
Practice locations: Livonia, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Commercial St
Suite 4
Livonia, NY 14487-9112
Phone (585) 733-6472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22566905NYMDCommunity Health Registered Nurse
403076NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Trubia CurrentSince Jul 19, 2022 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Medical Director Services PC CurrentSince Aug 1, 2020 Accepting new patients

Locations

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

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": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1962645010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINDEN ST",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879735",
            "telephone_number": "585-733-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCIAL ST STE 4",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879112",
            "telephone_number": "585-733-6472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Linden St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "NY",
            "postal_code": "144879735",
            "country_code": "US",
            "telephone_number": "585-346-3377",
            "fax_number": "585-346-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUBIA",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-18",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "22566905",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06262019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, NY

Sources for this page

Verify at the official NPI Registry.