Active NPI
Trinity Family Practice LLC
- Family Nurse Practitioner
- Centreville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TRINITY FAMILY PRACTICE LLC
- Practice address
- 14260R Centreville SQ
Centreville, VA 20121-2364 - Phone
- (571) 361-7881
- NPI assigned
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blessy Sebastian, DNP
- Title
- Owner of Entity
- Phone
- (571) 361-7881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14260R Centreville SQ
Centreville, VA 20121-2364
Mailing address
14260R Centreville SQ
Centreville, VA 20121-2364
Phone (571) 361-7881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2286788 | Trinity Family Practice | Certificate of waiver | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
14260R Centreville Sq
Centreville, VA 20121
Phone (571) 361-7881
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1144955261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14260R CENTREVILLE SQ",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212364",
"telephone_number": "571-361-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14260R CENTREVILLE SQ",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212364",
"telephone_number": "571-361-7881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SEBASTIAN",
"authorized_official_first_name": "BLESSY",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "571-361-7881",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.