Triveda Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NP13943 Issued in CA

Legal business name

TRIVEDA HEALTH

Practice address

2244 Barton Ave
South Lake Tahoe, CA 96150-3408

Phone

(530) 541-9355

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Pittlick Smith, F.N.P.

Title

Family Nurse Practitioner

Phone

(775) 219-9076

Specialties & licenses 1

Addresses

Other names 1

• Elevate Wellness Other name

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1851794853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503408",
            "telephone_number": "530-541-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVEDA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "PITTLICK",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "775-219-9076",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "NP13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristie Teresita Tibbetts
• Timothy David Tonini, DO
• Danielle Trapani, DACM LAC
• Mary Kristine Travis, MS RD
• Patrick Lackmann Traynor, RD
• Julia Marie Trizuto
• Roderick Randolph Turner, MD
• Marta Tuznik
• Tyler Peterson DO Inc (Peak Medical Tahoe)
• Haley Juliet Uriz

• Primary Care Clinic/Center in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.