Active NPI
Brandy Millington Trentin, PA-C
- Physician Assistant
- Lansing, MI
National Provider Identifier
1790806214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006073
- Practice address
- 505 N Clippert St
Lansing, MI 48912-4701 - Phone
- (517) 333-9200
- NPI assigned
- Apr 2, 2007
- Last updated
- Sep 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006073 | MI | Primary |
Addresses
Primary practice location
505 N Clippert St
Lansing, MI 48912-4701
Mailing address
505 N Clippert St
Lansing, MI 48912-4701
Phone (517) 333-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17632 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Cep America - California | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past | Accepting new patients |
Locations
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1790806214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N CLIPPERT ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489124701",
"telephone_number": "517-333-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N CLIPPERT ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489124701",
"telephone_number": "517-333-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTIN",
"first_name": "BRANDY",
"middle_name": "MILLINGTON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
- Transformative Therapy & Consultation Services
- Jason Christopher Tratechaud, D.O.
- Jamie Traverse McCormack, DO
- John W Treloar II, D.C.
- Kirk Jayson Trentham, MD
- Millicent Ashley Tresh, DO
- Tri-County Aging Consortium (Tri-County Office on Aging)
- Tri-County Cousneling Service LLC
- Tri-County Office on Aging
- Trillium Dental PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.