Active NPI
Trinardra Trimble, CPT
- Phlebotomy Technician
- Hiram, GA
National Provider Identifier
1891380960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- M3W9Y9E6
- Practice address
- 413 Lanier CT
Hiram, GA 30141-2073 - Phone
- (404) 428-8129
- NPI assigned
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | M3W9Y9E6 | GA | Primary |
Addresses
Primary practice location
413 Lanier CT
Hiram, GA 30141-2073
Mailing address
457 Nathan Dean Blvd.
Ste. 105 #70
Dallas, GA 30132
Phone (404) 428-8129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3W9Y9E6 | GA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1891380960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 NATHAN DEAN BLVD.",
"address_2": "STE. 105 #70",
"city": "DALLAS",
"state": "GA",
"postal_code": "30132",
"telephone_number": "404-428-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 LANIER CT",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412073",
"telephone_number": "404-428-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "TRINARDRA",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "M3W9Y9E6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.