Active NPI
Trista S Brodie
- Social Worker
- Smithfield, NC
National Provider Identifier
1750853362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000000000
- Practice address
- 4302 NC 210
Smithfield, NC 27522-2752 - Phone
- (919) 609-9390
- NPI assigned
- Dec 20, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 0000000000 | NC | |
| Adult Companion | 372600000X | 0000000000 | NC | |
| Homemaker | 376J00000X | 0000000000 | NC | |
| Prevention Professional | 405300000X | 0000000000 | NC | |
| Social Worker | 104100000X | 0000000000 | NC | Primary |
Addresses
Primary practice location
4302 NC 210
Smithfield, NC 27522-2752
Mailing address
PO Box 100
Knightdale, NC 27545-0100
Phone (919) 609-9390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1774 | Other | NC | CODE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000000 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Care Solutions, Inc. | Social Worker | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1750853362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275450100",
"telephone_number": "919-609-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 NC 210",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275222752",
"telephone_number": "919-609-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE",
"first_name": "TRISTA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NC",
"license": "0000000000",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "0000000000",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NC",
"license": "0000000000",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NC",
"license": "0000000000",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "0000000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CODE",
"identifier": "1774",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.