Organization Active NPI

Trinity Aesthetics & Laser

  • Internal Medicine Physician
  • Colleyville, TX
National Provider Identifier
1891153011
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRINITY AESTHETICS & LASER
Practice address
88 Village LN
Colleyville, TX 76034-2972
Phone
(817) 310-6624
NPI assigned
Feb 2, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Janie Simmons, MDNPI 1528029154
Title
Owner/Physicial
Phone
(817) 310-6624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

88 Village LN
Colleyville, TX 76034-2972

Mailing address

88 Village LN
Colleyville, TX 76034-2972
Phone (817) 310-6624

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1891153011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 VILLAGE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342972",
            "telephone_number": "817-310-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 VILLAGE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342972",
            "telephone_number": "817-310-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY AESTHETICS & LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAL",
        "authorized_official_telephone_number": "817-310-6624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.