Active NPI
Trinity Balanced Family Healthcare LLC
- Family Nurse Practitioner
- Georgetown, TX
National Provider Identifier
1780460501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TRINITY BALANCED FAMILY HEALTHCARE LLC
- Practice address
- 101 Cooperative Way Ste 110
Georgetown, TX 78626-8209 - Phone
- (512) 733-5800
- Fax
- (512) 377-1180
- NPI assigned
- Sep 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Moreno
- Title
- Credentialing
- Phone
- (512) 698-5772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
101 Cooperative Way Ste 110
Georgetown, TX 78626-8209
Mailing address
101 Cooperative Way Ste 110
Georgetown, TX 78626-8209
Phone (512) 733-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Cooperative Way
Ste 110
Georgetown, TX 78626
Phone (512) 535-3777
1101 Satellite Vw
Round Rock, TX 78665
Phone (512) 592-0621
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBECDA
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cedar Park, TX
- NPI 1578948071
-
- Family Nurse Practitioner
- Cedar Park, TX
- NPI 1710300280
-
- Family Nurse Practitioner
- Georgetown, TX
- NPI 1609509967
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1821750969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1780460501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 COOPERATIVE WAY STE 110",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268209",
"telephone_number": "512-733-5800",
"fax_number": "512-377-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COOPERATIVE WAY STE 110",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268209",
"telephone_number": "512-733-5800",
"fax_number": "512-377-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY BALANCED FAMILY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-06",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "512-698-5772"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.