Individual provider Active NPI

Trinita Lafaye Mills-Ross, LPN

  • Licensed Practical Nurse
  • Lakeland, FL
National Provider Identifier
1104748672
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5252647 Issued in FL
Practice address
1510 Commercial Park Dr
Lakeland, FL 33801-6569
Phone
(863) 345-8090
Fax
(863) 606-0146
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5252647 FL Primary

Addresses

Primary practice location

1510 Commercial Park Dr
Lakeland, FL 33801-6569

Mailing address

37075 Coleman Ave
Dade City, FL 33525-4530
Phone (863) 345-8090

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

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1104748672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37075 COLEMAN AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254530",
            "telephone_number": "863-345-8090",
            "fax_number": "863-606-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COMMERCIAL PARK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016569",
            "telephone_number": "863-345-8090",
            "fax_number": "863-606-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS-ROSS",
        "first_name": "TRINITA",
        "middle_name": "LAFAYE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5252647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.