Active NPI
Trina James-Tanner
- Driver
- Century, FL
National Provider Identifier
1639828437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 873767982 | Medicaid | FL |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A338510 | DC | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Rapid Transportation | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Century, FL
- NPI 1972253789
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
- Escambia Community Clinics Inc (Century Pediatrics)
- Escambia Community Clinics Inc (Century Adult Primary Care)
- Naomi Golino, ARNP
- Teresa F Hatfield, ARNP
- Holiday CVS LLC (CVS Pharmacy #04027)
- Jay Hospital Inc (Century Medical Center)
- Eric Adrian Kimsey
- Katie Lynn Lloyd
- Mayo Street Medical, Inc
- Metro Rapid Transportation
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.