NPIMap

Organization Active NPI

Trinity Urgent Care & Family Practice, PLLC

  • Urgent Care Clinic/Center
  • Pembroke, NC
National Provider Identifier
1003082769
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
201409 Issued in NC
Legal business name
TRINITY URGENT CARE & FAMILY PRACTICE, PLLC
Practice address
923 W 3Rd St
Suite a
Pembroke, NC 28372-9684
Phone
(910) 775-9027
Fax
(910) 775-9131
NPI assigned
May 2, 2008
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Mrs. Denene P. Smith, FNP-BCNPI 1770650749
Title
RN/MSN
Phone
(910) 775-9027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 201409 NC Primary

Addresses

Primary practice location

923 W 3Rd St
Suite a
Pembroke, NC 28372-9684

Mailing address

923 W 3Rd St
Suite a
Pembroke, NC 28372-9684
Phone (910) 775-9027

Other identifiers 1

IdentifierTypeStateIssuer
7004413MedicaidNC

National Provider Directory

National Provider Directory

Locations

923 W 3rd St
Ste A
Pembroke, NC 28372
Phone (910) 733-0327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1003082769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "address_2": "SUITE A",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729684",
            "telephone_number": "910-775-9027",
            "fax_number": "910-775-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "address_2": "SUITE A",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729684",
            "telephone_number": "910-775-9027",
            "fax_number": "910-775-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY URGENT CARE & FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENENE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "RN/MSN",
        "authorized_official_telephone_number": "910-775-9027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "201409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.