Elijah Trif

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

237889 Issued in AZ

Practice address

5705 W Ludden Mountain Dr
Glendale, AZ 85310-2750

Phone

(623) 505-8631

NPI assigned

Jul 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821607086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 W LUDDEN MOUNTAIN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102750",
            "telephone_number": "623-505-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 W LUDDEN MOUNTAIN DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102750",
            "telephone_number": "623-505-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIF",
        "first_name": "ELIJAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "237889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elijah.trif@va.gov",
            "affiliation": "Y",
            "affiliationName": "Phoenix VA Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "650 E Indian School Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850121839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tri-City Express Care PLLC
• Triad Clinic PLLC
• Jacqueline C Tricarico, PA-C
• Elijah Trice
• Michelle Renae Trice, PT, DPT
• Duncan Scott Trigg, M.D.
• Dan Trimble, M.S., FAAA
• Dennis C Trimble, D.M.D P.C.
• Jared Paul Trimble, M.S., CCC-A, FAAA
• Trinity Assisted Living

• Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.