Organization Active NPI

TRN Medical Group, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Lake Worth, FL
National Provider Identifier
1922556638
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS9035 Issued in FL
Legal business name
TRN MEDICAL GROUP, INC.
Practice address
1718 N Federal Hwy
Lake Worth, FL 33460-6643
Phone
(561) 822-6320
Fax
(561) 318-0836
NPI assigned
Sep 12, 2016
Organization subpart
Yes
Parent organization
TOTAL RECOVERY NOW, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mrs. Gabrielle E Smith, CAP, CMHP, CHT
Title
Ceo
Phone
(561) 822-3620

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MH7281 FL
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X ARNP91662242 FL
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X OS9035 FL Primary

Addresses

Primary practice location

1718 N Federal Hwy
Lake Worth, FL 33460-6643

Mailing address

1718 N Federal Hwy
Lake Worth, FL 33460-6643
Phone (561) 822-6320

National Provider Directory

National Provider Directory
Part of
Total Recovery Now Inc

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1922556638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606643",
            "telephone_number": "561-822-6320",
            "fax_number": "561-318-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606643",
            "telephone_number": "561-822-6320",
            "fax_number": "561-318-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRN MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL RECOVERY NOW, INC.",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-822-3620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAP, CMHP, CHT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH7281",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP91662242",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "OS9035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.