Mercedes Trimble, B.S., M.ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

171 Canal Blvd
Ponte Vedra, FL 32082-3607

Phone

(904) 834-7581

NPI assigned

Oct 22, 2015

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Education

Practice roles

Locations

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

• Mandala Family Wellness LLC

  • Occupational Therapist
  • Ponte Vedra Beach, FL
  • NPI 1063296754
  NPD
• Mandala Family Wellness LLC

  • Psychologist
  • Ponte Vedra Beach, FL
  • NPI 1497262620
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1265804827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HUNTERS LAKE WAY APT 4301",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810185",
            "telephone_number": "321-205-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CANAL BLVD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823607",
            "telephone_number": "904-834-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E Muriel St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064033",
            "country_code": "US",
            "telephone_number": "321-205-5663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "MERCEDES",
        "credential": "B.S., M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald W Tice, D.O.
• Eric L Townsend, DDS
• Richard W. Townsend, MD
• Minh Tran
• Alyson Mary Triepke
• Trunorth Work/Life Solutions
• Turner Telemedicine, PLLC (eMDnow)
• Ashley Updike
• Upscale Ultrasound & Mobile 3D 4D, LLC
• Urgent Care Cure LLC

• Behavior Analyst in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.