NPIMap

Organization Active NPI

Trinity Wellness Clinic LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1225794555
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TRINITY WELLNESS CLINIC LLC
Practice address
3650 N Rancho Dr Ste 103
Las Vegas, NV 89130-3151
Phone
(702) 268-6868
NPI assigned
Nov 10, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Drucilla Hurd
Title
Owner
Phone
(702) 268-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3650 N Rancho Dr Ste 103
Las Vegas, NV 89130-3151

Mailing address

3650 N Rancho Dr Ste 103
Las Vegas, NV 89130-3151
Phone (702) 268-6868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1225794555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-268-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-268-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "DRUCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-268-6868"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.