Active NPI
Kimberly Brown
- Other Specialist/Technologist
- Luling, LA
National Provider Identifier
1447759337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 1160080314
- Practice address
- 13755 River Road
Luling, LA 70070 - Phone
- (504) 408-0757
- Fax
- (504) 408-0757
- NPI assigned
- Feb 6, 2018
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | |||
| Other Specialist/Technologist | 246Z00000X | 1160080314 | LA | Primary |
Addresses
Primary practice location
13755 River Road
Luling, LA 70070
Mailing address
10833 River Road #51
Ama, LA 70031-5002
Phone (504) 563-0021
Other practice location 1
13755 River Road D
Luling, LA 70070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160080314 | LA | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity and Company, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Luling, LA
- NPI 1932858313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447759337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 RIVER ROAD #51",
"city": "AMA",
"state": "LA",
"postal_code": "700315002",
"telephone_number": "504-563-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13755 RIVER ROAD",
"city": "LULING",
"state": "LA",
"postal_code": "70070",
"telephone_number": "504-408-0757",
"fax_number": "504-408-0757"
}
],
"practiceLocations": [
{
"address_1": "13755 River Road D",
"address_purpose": "LOCATION",
"city": "Luling",
"state": "LA",
"postal_code": "70070",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "LA",
"license": "1160080314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Luling, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.