Active NPI
Trinity Hayes
- Behavior Technician
- Memphis, TN
National Provider Identifier
1952059180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-205013
- Practice address
- 4075 Park Ave
Memphis, TN 38111-7400 - Phone
- (901) 584-8281
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-205013 | TN | Primary |
Addresses
Primary practice location
4075 Park Ave
Memphis, TN 38111-7400
Mailing address
3962 Ben Venue CV
Memphis, TN 38118-5712
Phone (901) 581-1867
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 |
|---|---|---|---|
| 22-205013 | TN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1952059180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3962 BEN VENUE CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381185712",
"telephone_number": "901-581-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381117400",
"telephone_number": "901-584-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "TRINITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "22-205013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.