Organization Active NPI

Trinity Alliance HCP Professional Limited Liability Company

  • Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1588349682
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TRINITY ALLIANCE HCP PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
2720 Stain Glass CT
Carrollton, TX 75007-5052
Phone
(469) 900-6979
Fax
(469) 574-7658
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Lydia F Mwesigwa
Title
Ceo
Phone
(469) 900-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2720 Stain Glass CT
Carrollton, TX 75007-5052

Mailing address

2720 Stain Glass CT
Carrollton, TX 75007-5052
Phone (945) 214-5139

Other names 1

  • Trinity Alliance HCP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1588349682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STAIN GLASS CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075052",
            "telephone_number": "945-214-5139",
            "fax_number": "469-574-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STAIN GLASS CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075052",
            "telephone_number": "469-900-6979",
            "fax_number": "469-574-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ALLIANCE HCP PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MWESIGWA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-900-6979"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Alliance HCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Alliance HCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.