Active NPI
Trina A Hermann
- Orthopedic Assistant
- Columbia, MO
National Provider Identifier
1982195947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- 18-0414
- Practice address
- 1100 Virginia Avenue
Columbia, MO 65212-0001 - Phone
- (573) 882-7497
- Fax
- (573) 882-5847
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 18-0414 | MO | Primary |
Addresses
Primary practice location
1100 Virginia Avenue
Columbia, MO 65212-0001
Mailing address
1923 Devonshire Dr
Columbia, MO 65203-7006
Phone (573) 268-9730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-0414 | Other | MO | NBCOT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-0414 | MO | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1982195947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 DEVONSHIRE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652037006",
"telephone_number": "573-268-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VIRGINIA AVENUE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-7497",
"fax_number": "573-882-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANN",
"first_name": "TRINA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "MO",
"license": "18-0414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "18-0414",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.