Trina Health of Lake Charles, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TRINA HEALTH OF LAKE CHARLES, LLC

Practice address

1714 Wolf Circle
Lake Charles, LA 70605-4050

Phone

(337) 240-9511

Fax

(337) 240-9510

NPI assigned

Jun 6, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Bono

Title

Chief Financial Officer

Phone

(337) 602-6091

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1295184786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W PRIEN LAKE RD",
            "address_2": "STE B-111",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WOLF CIRCLE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054050",
            "telephone_number": "337-240-9511",
            "fax_number": "337-240-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA HEALTH OF LAKE CHARLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "337-602-6091"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Trombatore, FNP
• Lindsay Fox Trosclair, PA-C
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• Nirmala Tumarada, M.D
• Alfred Royal Tuminello Jr., B.C.B.A.

• Multi-Specialty Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.