Trisha Marie Coulbourn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R165764 Issued in MD

Practice address

522 Cynwood Dr
Suite 300
Easton, MD 21601-3876

Phone

(410) 770-5250

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Trisha Lemay Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlemay153080@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Denton, MD
  • NPI 1487251997
  Medicare reassignment NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1134726649
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1801651674
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health System, Inc

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1154721231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR",
            "address_2": "SUITE 300",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013876",
            "telephone_number": "410-770-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR",
            "address_2": "SUITE 300",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013876",
            "telephone_number": "410-770-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULBOURN",
        "first_name": "TRISHA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "LEMAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Leigh Cooper, DPT
• Stephanie Fuchs Copper, LCSW-C
• Laurie Michelle Corcoran, LCADC
• Brian Joseph Corden, M.D.
• Juan Cordero, M.D.
• Nikki D Couloumbis, OT
• Liliana Covey, CRNP
• Makenzie Cowger
• Jordan Elaine Cox, LCMFT
• Joseph B Cox

• Family Nurse Practitioner in Easton, MD
• Providers in Easton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.