Active NPI
Laura Ellen Trunk, M.D.
- Internal Medicine Physician
- Metairie, LA
National Provider Identifier
1033461900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 023907
- Practice address
- 1200 Andrews Ave
Metairie, LA 70005-1706 - Phone
- (504) 833-3617
- Fax
- (904) 376-8770
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 023907 | LA | Primary |
Addresses
Primary practice location
1200 Andrews Ave
Metairie, LA 70005-1706
Mailing address
1200 Andrews Ave
Metairie, LA 70005-1706
Phone (504) 833-3617
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023907 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1033461900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ANDREWS AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700051706",
"telephone_number": "504-833-3617",
"fax_number": "904-376-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ANDREWS AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700051706",
"telephone_number": "504-833-3617",
"fax_number": "904-376-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUNK",
"first_name": "LAURA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "023907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.