Trinity Sheraden

Primary specialty

SpecialistTaxonomy code 174400000X

License

7300 Issued in OR

Legal business name

TRINITY SHERADEN

Practice address

1085 Moneda Ave N
Keizer, OR 97303-6256

Phone

(503) 869-7380

Fax

(866) 548-6743

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Trinity Sheraden, LMTNPI 1073682019

Title

Owner

Phone

(503) 869-7380

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trinity K Sheraden, LMT

  • Specialist
  • Hillsboro, OR
  • NPI 1073682019
  NPD (past) Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1962799833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245947",
            "telephone_number": "503-869-7380",
            "fax_number": "866-548-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 MONEDA AVE N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973036256",
            "telephone_number": "503-869-7380",
            "fax_number": "866-548-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SHERADEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "SHERADEN",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-869-7380",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "7300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-TRINITY SHERADEN",
            "identifier": "1073682019",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH NETWORK",
            "identifier": "TS1037297",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MASSAGE BOARD",
            "identifier": "7300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Keizer, OR
• Providers in Keizer, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.