Organization Active NPI

Kairos Opportunity Project

  • Peer Specialist
  • Dallas, TX
National Provider Identifier
1144987835
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
KAIROS OPPORTUNITY PROJECT
Practice address
3266 Spruce Valley LN
Dallas, TX 75233-2537
Phone
(469) 928-6176
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Tristen Monroe Brinlee-Troyyer
Title
Office Manager
Phone
(817) 600-4162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

3266 Spruce Valley LN
Dallas, TX 75233-2537

Mailing address

3266 Spruce Valley LN
Dallas, TX 75233-2537
Phone (469) 928-6176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1144987835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 SPRUCE VALLEY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332537",
            "telephone_number": "469-928-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 SPRUCE VALLEY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332537",
            "telephone_number": "469-928-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS OPPORTUNITY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "BRINLEE-TROYYER",
        "authorized_official_first_name": "TRISTEN",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-600-4162"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.