Triangle Area Network Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TRIANGLE AREA NETWORK INC

Practice address

1495 N 7TH St
Ste 5
Beaumont, TX 77702-1301

Phone

(409) 832-3377

Fax

(409) 832-3349

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Amanda M Gibson

Title

Coo

Phone

(409) 832-8338

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX4 enrollments

Enrollment records 4

Federally qualified health center certification: CCN 741944

Legal name

TRIANGLE AREA NETWORK INC

Doing business as

TRIANGLE AREA NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 14, 2017

Last certification

Feb 14, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 15, 1987 in TX

Enrollment address

3727 N 16TH St
Orange, TX 77632-4690

Federally qualified health center certification: CCN 451016

Legal name

TRIANGLE AREA NETWORK INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 7, 2018

Last certification

Aug 7, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 15, 1987 in TX

Enrollment address

1495 N 7TH St
Beaumont, TX 77702-1345

Federally qualified health center certification: CCN 671099

Legal name

TRIANGLE AREA NETWORK INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 22, 2023

Last certification

Jun 22, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 15, 1987 in TX

Enrollment address

2355 Interstate 10 E
Beaumont, TX 77702-1320

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGFEAD

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 14

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

• Rui Paulo Correia, APRN-CNP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1053166231
  Medicare reassignment Care Compare group NPD
• Jaimie Paulette Grimes, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1366954935
  Medicare reassignment Care Compare group NPD
• Laurie Kitchens Reimers, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1386036705
  Medicare reassignment Care Compare group NPD
• Katie Lorraine Williamson, FNP

  • Family Nurse Practitioner
  • Orange, TX
  • NPI 1114654035
  Medicare reassignment Care Compare group NPD
• Bianca Woolridge, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
  • NPI 1932974219
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Allen, APRN, FNP-C, RN

  • Primary Care Nurse Practitioner
  • Bridge City, TX
  • NPI 1225781651
  Medicare reassignment NPD
• Wendi Ellen Ames, APRN, FNP-C

  • Family Nurse Practitioner
  • Vidor, TX
  • NPI 1033725718
  Medicare reassignment NPD
• Kashi S Bagri, MD

  • Psychiatry Physician
  • Beaumont, TX
  • NPI 1730166075
  Medicare reassignment NPD
• Madeline Joy Bebee

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1134993991
  Medicare reassignment NPD
• Myeisha Tane' Casmire Clifton, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1821527284
  Medicare reassignment NPD
• Larissa Deblanc, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1083154330

  Family

  Medicare reassignment NPD
• Alicia Georgetown, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1609481043

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1376584789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 N 7TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021345",
            "telephone_number": "409-832-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 N 7TH ST",
            "address_2": "STE 5",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021301",
            "telephone_number": "409-832-3377",
            "fax_number": "409-832-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776324690",
            "country_code": "US",
            "telephone_number": "409-920-4223",
            "fax_number": "409-920-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIANGLE AREA NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "409-832-8338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060PD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1960627-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "741944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Lee Tremont, OTR
• Catherine Broussard Trevino, FNP
• Desire T. Trevino
• Tri-Medical Emergency Medical Services LP
• Tri-Met Medical Services, PA
• Triangle Care Hospice Dba Riceland Hospice
• Triangle Care Hospice LP
• Triangle Hospital Care Group
• Triangle Medical Supply, LLC
• Triangle Pharmacy Solutions LLC

• Federally Qualified Health Center (FQHC) in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.