Individual provider Active NPI

Trina James-Tanner

  • Driver
  • Century, FL
National Provider Identifier
1639828437
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
150 E Pond St Ste 5a
Century, FL 32535-2859
Phone
(850) 366-4067
NPI assigned
Mar 21, 2022
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X A338510 DC
Driver 172A00000X NU Primary

Addresses

Primary practice location

150 E Pond St Ste 5a
Century, FL 32535-2859

Mailing address

150 E Pond St Ste 5a
Century, FL 32535-2859
Phone (850) 366-4067

Other identifiers 1

IdentifierTypeStateIssuer
873767982MedicaidFL

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
A338510DCMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Rapid Transportation CurrentSince May 1, 2023 Accepting new patients

Locations

150 E Pond St
Ste 5A
Century, FL 32535
Phone (850) 366-4067

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.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1639828437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E POND ST STE 5A",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352859",
            "telephone_number": "850-366-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E POND ST STE 5A",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352859",
            "telephone_number": "850-366-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-TANNER",
        "first_name": "TRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "DC",
            "license": "A338510",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873767982",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Century, FL

Sources for this page

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