Organization Active NPI

William K. Trimble, Crna, PLLC

  • Certified Registered Nurse Anesthetist
  • Winslow, AZ
National Provider Identifier
1972516409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN106462 Issued in AZ
Legal business name
WILLIAM K. TRIMBLE, CRNA, PLLC
Practice address
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone
(928) 289-4691
Fax
(928) 289-9180
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Kenneth Trimble, CRNA
Title
Certified Registered Nurse Anesthet
Phone
(623) 606-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN106462 AZ Primary

Addresses

Primary practice location

1501 N Williamson Ave
Winslow, AZ 86047-2735

Mailing address

20621 N. 264TH Ave
Buckeye, AZ 85396
Phone (928) 252-2504

Other identifiers 1

IdentifierTypeStateIssuer
493396MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972516409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20621 N. 264TH AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85396",
            "telephone_number": "928-252-2504",
            "fax_number": "928-252-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N WILLIAMSON AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472735",
            "telephone_number": "928-289-4691",
            "fax_number": "928-289-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM K. TRIMBLE, CRNA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CERTIFIED REGISTERED NURSE ANESTHET",
        "authorized_official_telephone_number": "623-606-5439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN106462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.