Trisha Conklin, CLD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

102 Pelican Ave
Brighton, CO 80601-5314

Phone

(303) 547-4953

NPI assigned

Jul 6, 2013

Last updated

Jul 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373068800000",
    "number": "1386085322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PELICAN AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806015314",
            "telephone_number": "303-547-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PELICAN AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806015314",
            "telephone_number": "303-547-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "TRISHA",
        "name_prefix": "Mrs.",
        "credential": "CLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brighton, CO
• Providers in Brighton, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; 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.