Organization Active NPI

Trident Health Solutions, LLC

  • Primary Care Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1740056894
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRIDENT HEALTH SOLUTIONS, LLC
Doing business as
Coastal Regen
Practice address
1015 Eden Way N Ste a
Chesapeake, VA 23320-2787
Phone
(757) 297-6750
Fax
(757) 609-3743
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Laura Melsheimer, FNPNPI 1750928586
Title
Owner/Nurse Practitioner
Phone
(757) 297-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1015 Eden Way N Ste a
Chesapeake, VA 23320-2787

Mailing address

1015 Eden Way N Ste a
Chesapeake, VA 23320-2787
Phone (812) 329-9126

Other names 1

  • Coastal Regen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801000263 VA Part B Supplier - Clinic/Group Practice 4587101126 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1740056894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 EDEN WAY N STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202787",
            "telephone_number": "812-329-9126",
            "fax_number": "757-609-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EDEN WAY N STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202787",
            "telephone_number": "757-297-6750",
            "fax_number": "757-609-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MELSHEIMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "757-297-6750",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Regen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Regen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.