Organization Active NPI

Trieu Dermatology LLC

  • Dermatology Physician
  • Harvey, LA
National Provider Identifier
1376092452
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
203192 Issued in LA
Legal business name
TRIEU DERMATOLOGY LLC
Practice address
1525 Lapalco Blvd
Suite 20
Harvey, LA 70058-5738
Phone
(504) 390-1156
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Diane Trieu, MDNPI 1376710913
Title
Owner
Phone
(504) 390-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 203192 LA Primary

Addresses

Primary practice location

1525 Lapalco Blvd
Suite 20
Harvey, LA 70058-5738

Mailing address

1525 Lapalco Blvd
Suite 20
Harvey, LA 70058-5738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170217000215 LA Part B Supplier - Clinic/Group Practice 9234412297 Receives reassigned benefits from 1 practitioner
Practice locations: Harvey, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2120244Trieu Dermatology, LLC1525 Lapalco Blvd, Suite 20, Harvey, LA 70058ComplianceAug 6, 2027

National Provider Directory

National Provider Directory

Locations

1525 Lapalco Blvd
Ste 20
Harvey, LA 70058
Phone (504) 390-1156

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1376092452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LAPALCO BLVD",
            "address_2": "SUITE 20",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LAPALCO BLVD",
            "address_2": "SUITE 20",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585738",
            "telephone_number": "504-390-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIEU DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-390-1156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "203192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.