Trecia Jean Hall, CNA

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Practice address

5400 Coraci Blvd Apt 7202
Port Orange, FL 32128-7581

Phone

(352) 718-4888

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1104635473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CORACI BLVD APT 7202",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287581",
            "telephone_number": "352-718-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CORACI BLVD APT 7202",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287581",
            "telephone_number": "352-718-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TRECIA",
        "middle_name": "JEAN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halifax Hospice Inc (Hospice of Volusia Flagler)
• Halifax Pathology Associates PA
• Halifax Pathology Associates PA
• James Hall, RBT
• Nora Hall, BA
• Megan Haller
• Rachael A Hammel, NP
• Rebecca Leigh Hammond
• Kacee Hampshire
• Casey Hampton

• Adult Development & Aging Psychologist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Adult Development & Aging Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.