Trinity Clinical Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TRINITY CLINICAL SERVICES LLC

Practice address

5089 San Ignacio Dr
Sebring, FL 33872-1760

Phone

(786) 459-4226

Fax

(458) 200-3014

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Ketsia Aurelien, A-GNP-C

Title

Nurse Practitioner

Phone

(786) 459-4226

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1639864234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E MAIN ST UNIT 126",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253943",
            "telephone_number": "786-459-4226",
            "fax_number": "458-200-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 SAN IGNACIO DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721760",
            "telephone_number": "786-459-4226",
            "fax_number": "458-200-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "AURELIEN",
        "authorized_official_first_name": "KETSIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-459-4226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A-GNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Sebring, FL
• Providers in Sebring, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.