Individual provider Active NPI

Jennifer Duyen Trinh, D.O.

  • Family Medicine Physician
  • Watauga, TX
National Provider Identifier
1770943177
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5484 Issued in TX
Practice address
8325 Whitley Rd Ste 100
Watauga, TX 76148-2493
Phone
(817) 479-1181
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R5484 TX Primary

Addresses

Primary practice location

8325 Whitley Rd Ste 100
Watauga, TX 76148-2493

Mailing address

8325 Whitley Rd Ste 100
Watauga, TX 76148-2493
Phone (480) 334-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620002691 TX Practitioner - Family PracticePractitioner - Allergy/ImmunologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 2365776622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Allergy/Immunology, Geriatric Medicine, Hospice/Palliative Care, Osteopathic Manipulative Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valora Medical Center LLCGroup PAC ID 4880095983, 13 clinicians

Practice addresses (Care Compare)

825 Desco LN
Grand Prairie, TX 75051-1685
Phone (844) 825-6724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Angel'S Star Wellness Center, P.a Family Medicine CurrentSince Aug 5, 2019 Accepting new patients

Locations

8325 Whitley Rd
Ste 100
Watauga, TX 76148
Phone (817) 479-1181

Organizations & group practices 2

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1770943177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 WHITLEY RD STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482493",
            "telephone_number": "480-334-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WHITLEY RD STE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482493",
            "telephone_number": "817-479-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "JENNIFER",
        "middle_name": "DUYEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

Verify at the official NPI Registry.