TRIVEDA HEALTH (NPI# 1851794853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851794853 |
Entity Type | Organization |
Organization Name | TRIVEDA HEALTH |
Other Organization Name | ELEVATE WELLNESS |
Practice Address |
2244 Barton Ave South Lake Tahoe CA 96150-3408 |
Practice Telephone | 5305419355 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Authorized Official Name | MRS. AMY PITTLICK SMITH (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 7752199076 |
Authorized Official Credential | F.N.P. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NP13943 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Elevate Wellness | Other Name - Individual/Organization |
Street Address |
2244 BARTON AVE |
City | SOUTH LAKE TAHOE |
State | CA |
Zip Code | 96150-3408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588181101 | Lake Tahoe Acupuncture and Wellness | Acupuncturist | 2244 Barton Ave, South Lake Tahoe, CA 96150-3408 | 2017-08-24 |
1679923593 | Jessica Cerasoli | Acupuncturist | 2244 Barton Ave, South Lake Tahoe, CA 96150-3408 | 2016-06-22 |
1659768687 | Elevate Wellness and Acupuncture Center | Acupuncturist | 2244 Barton Ave, South Lake Tahoe, CA 96150-3408 | 2015-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
Find all providers in zip 96150 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154631703 | Barton Healthcare System | Clinic/Center | 1090 3rd St, Ste 1, South Lake Tahoe, CA 96150-3485 | 2010-10-18 |
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---|---|---|---|---|
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1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
Find all providers with the same taxonomy |
City | SOUTH LAKE TAHOE |
Zip Code | 96150 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.