Organization Active NPI

Trina Weber, Ms, Rd, LLC

  • Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1376916684
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
926499 Issued in MI
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

Updated by the provider on Nov 9, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13638513OtherMICAQH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.