Trinity Health Michigan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRINITY HEALTH MICHIGAN

Practice address

5555 Conner St
Ste. 2691
Detroit, MI 48213-3448

Phone

(313) 692-8400

Fax

(313) 692-8431

NPI assigned

Mar 13, 2007

Organization subpart

Yes

Parent organization

TRRINTY HEALTH MICHIGANAs reported in NPPES

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

Authorized official

Name

Ms. Tawana L Nettles-Robinson

Title

Executive Director

Phone

(313) 692-8400

Specialties & licenses 4

Addresses

Other names 1

• Mercy Primary Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mercy Health Services

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trinity Health - Michigan

  • Community/Retail Pharmacy
  • Hudsonville, MI
  • NPI 1700351657

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1942333786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST",
            "address_2": "STE. 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133448",
            "telephone_number": "313-692-8400",
            "fax_number": "313-692-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST",
            "address_2": "STE. 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133448",
            "telephone_number": "313-692-8400",
            "fax_number": "313-692-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRRINTY HEALTH MICHIGAN",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "NETTLES-ROBINSON",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-692-8400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trine Home Care
• Brittani Tringali, CADC-DP, CPRM
• Trinity Counseling & Educational Services
• Trinity Health Care PLLC
• Trinity Health Michigan
• Trinity Homecare Physicians, P.L.L.C.
• Trinity Medical Clinic
• Trinity Mihp
• Nishita Tripathi, MD
• Martina Tripcovici, M.D.

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.