Active NPI
Trina Weber, Ms, Rd, LLC
- Clinic/Center
- Kalamazoo, MI
National Provider Identifier
1376916684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 926499
- Legal business name
- TRINA WEBER, MS, RD, LLC
- Practice address
- 4341 S Westnedge Ave
Suite 2106
Kalamazoo, MI 49008-3289 - Phone
- (269) 873-9108
- Fax
- (269) 544-2460
- NPI assigned
- Nov 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trina Michelle Weber, MS, RD
- Title
- Registered Dietitian
- Phone
- (269) 873-9108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 926499 | MI | Primary |
Addresses
Primary practice location
4341 S Westnedge Ave
Suite 2106
Kalamazoo, MI 49008-3289
Mailing address
4341 S Westnedge Ave
Suite 2106
Kalamazoo, MI 49008-3289
Phone (269) 873-9108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13638513 | Other | MI | CAQH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447027200000",
"number": "1376916684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 S WESTNEDGE AVE",
"address_2": "SUITE 2106",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083289",
"telephone_number": "269-873-9108",
"fax_number": "269-544-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 S WESTNEDGE AVE",
"address_2": "SUITE 2106",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083289",
"telephone_number": "269-873-9108",
"fax_number": "269-544-2460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINA WEBER, MS, RD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "TRINA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "269-873-9108",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "926499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13638513",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.