Individual provider Active NPI

Brenda Marie Tri, CRT,EI

  • Specialist
  • West Barnstable, MA
National Provider Identifier
1932338795
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3924 Issued in MA
Practice address
2051 Main St
West Barnstable, MA 02668-1118
Phone
(508) 400-0011
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3924 MA Primary
Certified Respiratory Therapist 227800000X 3103 MA
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X 3103 MA

Addresses

Primary practice location

2051 Main St
West Barnstable, MA 02668-1118

Mailing address

2051 Main St
West Barnstable, MA 02668-1118
Phone (508) 400-0011

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

LicenseStateTypeSpecialty
3924MAMDSpecialist
3103MAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamondsedge Farm Foundation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1932338795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681118",
            "telephone_number": "508-400-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MAIN ST",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681118",
            "telephone_number": "508-400-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRI",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRT,EI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "3924",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "MA",
            "license": "3103",
            "primary": false
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "MA",
            "license": "3103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Barnstable, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.