Organization Active NPI

Trinity Balanced Family Healthcare LLC

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1780460501
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jun 9, 2026

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240603002785 TX Part B Supplier - Clinic/Group Practice 3476095753 Receives reassigned benefits from 4 practitioners
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.