Organization Active NPI

Trinitas Eldercare Specialty Services, PC

  • General Practice Physician
  • Wenatchee, WA
National Provider Identifier
1376873737
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00038313 Issued in WA
Legal business name
TRINITAS ELDERCARE SPECIALTY SERVICES, PC
Practice address
1505 N Miller St Ste 230
Wenatchee, WA 98801-1597
Phone
(509) 888-8988
Fax
(509) 664-5056
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Renee L Woods, M.D.
Title
Ceo, President
Phone
(509) 888-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD00038313 WA Primary

Addresses

Primary practice location

1505 N Miller St Ste 230
Wenatchee, WA 98801-1597

Mailing address

PO Box 3363
Wenatchee, WA 98807-3363
Phone (509) 888-8988

National Provider Directory

National Provider Directory

Locations

1505 N Miller St
Ste 230
Wenatchee, WA 98801
Phone (509) 888-8988

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1376873737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3363",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988073363",
            "telephone_number": "509-888-8988",
            "fax_number": "509-664-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N MILLER ST STE 230",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011597",
            "telephone_number": "509-888-8988",
            "fax_number": "509-664-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITAS ELDERCARE SPECIALTY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "509-888-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00038313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.