Individual provider Active NPI

Lauren Trimble, OT

  • Occupational Therapist
  • Oxford, MS
National Provider Identifier
1700040250
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2247 Issued in MS
Practice address
169 Highway 6 E
Suite 102
Oxford, MS 38655-9415
Phone
(662) 380-5030
Fax
(662) 380-5620
NPI assigned
Jul 14, 2008
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119004512 VA
Occupational Therapist 225X00000X OT2247 MS Primary

Addresses

Primary practice location

169 Highway 6 E
Suite 102
Oxford, MS 38655-9415

Mailing address

502 Wedgewood Dr
Oxford, MS 38655-5414
Phone (662) 832-5188

Other identifiers 1

IdentifierTypeStateIssuer
04833718MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120000861 MS Practitioner - Occupational Therapist in Private Practice 5496079543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Ms Outpatient TherapyGroup PAC ID 8426372574, 3 clinicians

Practice addresses (Care Compare)

169 Hwy 6 E
Suite 102
Oxford, MS 38655-6902
Phone (662) 380-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119004512VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Ms Outpatient Therapy Occupational Therapist CurrentSince Jan 9, 2015 Accepting new patients

Locations

169 Highway 6 E
Ste 102
Oxford, MS 38655
Phone (662) 380-5030

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1700040250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WEDGEWOOD DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555414",
            "telephone_number": "662-832-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HIGHWAY 6 E",
            "address_2": "SUITE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559415",
            "telephone_number": "662-380-5030",
            "fax_number": "662-380-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "LAUREN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004512",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04833718",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.