Trinity Salem Family Health Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY SALEM FAMILY HEALTH CLINIC PLLC

Practice address

1007 Legacy Ranch Rd Ste 102
Waxahachie, TX 75165-1294

Phone

(336) 341-9295

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Yaminah Matthews, APRN, FNP-BCNPI 1346679842

Title

Owner., Authorized Official

Phone

(972) 666-8111

Specialties & licenses 2

Addresses

Other names 1

• TRINITY SALEM FAMILY HEALTH CLINIC, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Yaminah Matthews, APRN

  • Family Nurse Practitioner
  • Waxahachie, TX
  • NPI 1346679842
  Medicare reassignment NPD Authorized official
• Lee Theodore Bottem, D.O.

  • Ophthalmology Physician
  • Broken Arrow, OK
  • NPI 1679745418
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1760119440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LEGACY RANCH RD STE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651294",
            "telephone_number": "972-666-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LEGACY RANCH RD STE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651294",
            "telephone_number": "336-341-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SALEM FAMILY HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "YAMINAH",
        "authorized_official_title_or_position": "OWNER., AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-666-8111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY SALEM FAMILY HEALTH CLINIC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRINITY SALEM FAMILY HEALTH CLINIC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoa Tran
• Edgar Trejo, FNP-C
• Christopher Trinh, D.O.
• Trinity Health PLLC
• Trinity Medical PLLC
• Christopher Tucker
• Ciera Tucker, RN
• Lindsay Tucker, RN, FNP-BC
• Fawad A Tufail, MD
• Kerrah Turner

• Family Medicine Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.