Steve Trimandilis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12.009228 Issued in CT

Practice address

401 Federal Rd
Brookfield, CT 06804-2037

Phone

(203) 775-6365

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southbury Medical Associates, LLP

  • Internal Medicine Physician
  • Southbury, CT
  • NPI 1407984222

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1639789746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CROSS BROOK RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067981507",
            "telephone_number": "203-297-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FEDERAL RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042037",
            "telephone_number": "203-775-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Cross Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "CT",
            "postal_code": "067981507",
            "country_code": "US",
            "telephone_number": "203-297-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIMANDILIS",
        "first_name": "STEVE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "89958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.009228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Titus, MS, CCC-SLP
• Nancy J. Tolmoff, LMFT, LPC
• Helen F Tomasko, LPC
• Total Assurance Home Healthcare
• Janet Townley, NUTRITION COUNSELOR
• Altagracia Trinidad, LPC
• Trinity Counseling Services
• Turrill Drug Inc (Brookfield Pharmacy)
• Mojisola Gladys Ukabi, M.D.
• Urgent Care Medical Associates, LLC

• Family Nurse Practitioner in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.