Active NPI
Lauren Trimble, OT
- Occupational Therapist
- Oxford, MS
National Provider Identifier
1700040250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2247
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04833718 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119004512 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Ms Outpatient Therapy | Occupational Therapist | Current | 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.