Active NPI
Trina Serena Kidd-Simmons, TRANSPPRTION PROVIDE
- Private Vehicle
- Reidsville, NC
National Provider Identifier
1194435669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 28776506
- Practice address
- Trina Kidd-Simmons
131 Scott Street
Reidsville, NC 27320 - Phone
- (336) 580-4866
- Fax
- (336) 347-7030
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 28776506 | NC | Primary |
Addresses
Primary practice location
Trina Kidd-Simmons
131 Scott Street
Reidsville, NC 27320
Mailing address
Trina Kidd-Simmons
131 Scott Street
Reidsville, NC 27320
Phone (336) 580-4866
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28776506 | NC | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1194435669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TRINA KIDD-SIMMONS",
"address_2": "131 SCOTT STREET",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "27320",
"telephone_number": "336-580-4866",
"fax_number": "336-347-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRINA KIDD-SIMMONS",
"address_2": "131 SCOTT STREET",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "27320",
"telephone_number": "336-580-4866",
"fax_number": "336-347-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD-SIMMONS",
"first_name": "TRINA",
"middle_name": "SERENA",
"name_prefix": "Prof.",
"credential": "TRANSPPRTION PROVIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-25",
"last_updated": "2022-11-25",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "28776506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.