Individual provider Active NPI

Tiffany Lynn Trenda, D.O.

  • Pediatrics Physician
  • Columbia, SC
National Provider Identifier
1407110802
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
LL1600 Issued in SC
Practice address
14 Medical Park
Suite 400 Peds Dept -
Columbia, SC 29203
Phone
(803) 434-6155
Fax
(803) 434-6979
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL1600 SC Primary

Addresses

Primary practice location

14 Medical Park
Suite 400 Peds Dept -
Columbia, SC 29203

Mailing address

14 Medical Park
Suite 400 Peds Dept -
Columbia, SC 29203
Phone (803) 434-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731014367 MN Practitioner - Pediatric Medicine 0345554689 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
59600MNMDClinical Social Worker
LL1600SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners RC CurrentSince Jan 4, 2026 Accepting new patients
Hutchinson Health CurrentSince Aug 17, 2015 Accepting new patients
Healthpartners RC CurrentSince Feb 18, 2022 Accepting new patients
Healthpartners RC CurrentSince Feb 18, 2022 Accepting new patients
Hutchinson Medical Center PA Past Accepting new patients

Locations

3 Century Ave SE
Hutchinson, MN 55350
Phone (320) 234-3290

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

Interoperability endpoints

  • Direct secure messaging: ttrenda256764@direct.healthpartners.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1407110802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK",
            "address_2": "SUITE 400 PEDS DEPT -",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-6155",
            "fax_number": "803-434-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK",
            "address_2": "SUITE 400 PEDS DEPT -",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-6155",
            "fax_number": "803-434-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENDA",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.