Active NPI
Trina Yolanda Epperson, BS, CADC- US
- Addiction (Substance Use Disorder) Counselor
- Lawton, OK
National Provider Identifier
1578088753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1578088753
- Practice address
- 25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993 - Phone
- (580) 280-5764
- Fax
- (580) 280-5764
- NPI assigned
- Aug 8, 2017
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 1578088753 | OK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1578088753 | OK | Primary |
Addresses
Primary practice location
25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993
Mailing address
25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993
Phone (580) 280-5764
Other names 1
- Mrs. Trina Yolanda Washington
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1578088753 | OK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1578088753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 NW VILLAGE GREEN DR APT 320",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055993",
"telephone_number": "580-280-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NW VILLAGE GREEN DR APT 320",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055993",
"telephone_number": "580-280-5764",
"fax_number": "580-280-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "TRINA",
"middle_name": "YOLANDA",
"name_prefix": "Ms.",
"credential": "BS, CADC- US",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "1578088753",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1578088753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRINA",
"last_name": "WASHINGTON",
"middle_name": "YOLANDA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.