Active NPI
Trina Ranee Haymond, N.P.
- Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1063449718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP15779
- Practice address
- 117 E Colorado Blvd Ste 600
Pasadena, CA 91105 - Phone
- (844) 735-1418
- Fax
- (855) 737-5542
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP15779 | CA | Primary |
Addresses
Primary practice location
117 E Colorado Blvd Ste 600
Pasadena, CA 91105
Mailing address
333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (844) 735-1418
Other practice location 1
200 Mission Blvd
Jackson, CA 95642-2564
Phone (209) 223-7505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN556015 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP15779 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1063449718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST STE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011835",
"telephone_number": "844-735-1418",
"fax_number": "855-737-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E COLORADO BLVD STE 600",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "844-735-1418",
"fax_number": "855-737-5542"
}
],
"practiceLocations": [
{
"address_1": "200 Mission Blvd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "CA",
"postal_code": "956422564",
"country_code": "US",
"telephone_number": "209-223-7505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYMOND",
"first_name": "TRINA",
"middle_name": "RANEE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP15779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN556015",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.