NPIMap

Organization Active NPI

Trinity Family Medicine

  • Family Medicine Physician
  • North Easton, MA
National Provider Identifier
1083897854
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRINITY FAMILY MEDICINE
Practice address
15 Roche Brothers Way Ste 202
One Washington Street Building
North Easton, MA 02356-1000
Phone
(508) 230-0155
NPI assigned
Dec 14, 2007
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Jennifer Shields, CPC
Title
Officemanager
Phone
(508) 586-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15 Roche Brothers Way Ste 202
One Washington Street Building
North Easton, MA 02356-1000

Mailing address

15 Roche Brothers Way Ste 202
One Washington Street Building
North Easton, MA 02356-1000
Phone (508) 230-0155

National Provider Directory

National Provider Directory
Tax ID family
Bethel Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Roche Brothers Way
Ste 202
North Easton, MA 02356
Phone (508) 230-0155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2020/brand/1/csg/1/fhir/r4

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1083897854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROTHERS WAY STE 202",
            "address_2": "ONE WASHINGTON STREET BUILDING",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "508-230-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROTHERS WAY STE 202",
            "address_2": "ONE WASHINGTON STREET BUILDING",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "508-230-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICEMANAGER",
        "authorized_official_telephone_number": "508-586-3103",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.