Trina Health-Witchita N.W., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TRINA HEALTH-WITCHITA N.W., LLC

Doing business as

Trina Health of Wichita

Practice address

8414 W 13TH St N
Ste 200
Wichita, KS 67212-2979

Phone

(214) 364-0304

Fax

(866) 713-4186

NPI assigned

Jul 7, 2015

Last updated

Jul 11, 2017By 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

Deane' Wallace

Title

Credentialing Specialist

Phone

(916) 571-9041

Specialties & licenses 2

Addresses

Other names 1

• Trina Health of Wichita Doing business as

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1356724413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 W 13TH ST N",
            "address_2": "STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122979",
            "telephone_number": "214-364-0304",
            "fax_number": "866-713-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 W 13TH ST N",
            "address_2": "STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122979",
            "telephone_number": "214-364-0304",
            "fax_number": "866-713-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA HEALTH-WITCHITA N.W., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DEANE'",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "916-571-9041"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trina Health of Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Wichita, KS
• Providers in Wichita, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.