MRS. DORA D. TRIVETTE (NPI# 1376947085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376947085 |
| Entity Type | Individual |
| Full Name | MRS. DORA D. TRIVETTE |
| Credential | RN, APN |
| Practice Address |
2020 Keith Street Nw Suite C Cleveland TN 37361 |
| Mailing Address |
2020 Keith St Nw Ste C Cleveland TN 37311-1351 |
| Practice Telephone | 4236140535 |
| Practice Fax Number | 4236140545 |
| Mailing Telephone | 4236140535 |
| Mailing Fax Number | 4236140545 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000019048 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2020 KEITH STREET NW SUITE C |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673235 | Ocoee Pharmacy, Inc | Pharmacy | 186 Creekside Dr, Ocoee, TN 37361 | 2015-03-09 |
| 1326487752 | Bethany Randolph Hogan | Nurse Practitioner | 119 Whitewater Drive, Bradley Polk Walk In Clinic and Medical Center, Ocoee, TN 37361 | 2013-06-19 |
| 1326055591 | Preferred Oxygen LLC | Durable Medical Equipment & Medical Supplies | 134 Creekside Dr., Suite #2, Ocoee, TN 37361 | 2006-08-01 |
| 1952754707 | Samuel Randolph | Pharmacist | 186 Creekside Dr, Ocoee, TN 37361 | 2016-07-18 |
| 1174921001 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 119 Whitewater Drive, Ocoee, TN 37361 | 2014-12-09 |
| 1568645091 | David D Darden | Preventive Medicine | 1680 Sand Mountain Road, Ocoee, TN 37361-0335 | 2007-12-06 |
| 1912283458 | Karen Milen | Nurse Practitioner | 400 Blackberry Ln, Ocoee, TN 37361-3456 | 2011-10-28 |
| 1114310224 | Cooke Food Store Inc | Pharmacy | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-13 |
| 1760875686 | Thad Huff | Pharmacist | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-17 |
| 1770929333 | Bradley Polk Walk In Clinic | Internal Medicine | 119 White Water Dr, Ocoee, TN 37361-3645 | 2013-05-21 |
| Find all providers in zip 37361 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.