Individual provider Active NPI

Kelsey Marie Trinka

  • Audiologist
  • MC Lean, VA
National Provider Identifier
1801260856
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001707 Issued in VA
Practice address
6862 Elm St Ste 120
MC Lean, VA 22101-3862
Phone
(703) 748-3300
Fax
(703) 749-3311
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001707 VA Primary
Audiologist 231H00000X 000157 DC

Addresses

Primary practice location

6862 Elm St Ste 120
MC Lean, VA 22101-3862

Mailing address

6862 Elm St Ste 120
MC Lean, VA 22101-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029003024 DC Practitioner - Qualified Audiologist 8325391931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Associates of Northern Virginia LLCGroup PAC ID 0244339737, 4 clinicians

Practice addresses (Care Compare)

6862 Elm St
Suite 120
MC Lean, VA 22101-3862
Phone (703) 748-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000157DCMDAudiologist
2201001707VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Associates of Northern Virginia LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

6862 Elm St
Ste 120
McLean, VA 22101
Phone (703) 748-3300

Organizations & group practices 1

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1801260856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013862",
            "telephone_number": "703-748-3300",
            "fax_number": "703-749-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINKA",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001707",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "000157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.