TRINITY HEALTHCARE PRACTICE LLC NPI 1689462608

NPI Information

  • NPI: 1689462608
  • Provider Name: TRINITY HEALTHCARE PRACTICE, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 14D2325300
  • Address: 2810 FRANK SCOTT PKWY W STE 708
    BELLEVILLE, IL
    ZIP 62223
  • Phone: (314) 252-8704

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NPI Details

TRINITY HEALTHCARE PRACTICE, LLC is a family nurse practitioner in Belleville, IL. TRINITY HEALTHCARE PRACTICE, LLC NPI is 1689462608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2810 FRANK SCOTT PKWY W STE 708
BELLEVILLE, IL
ZIP 62223-007
Phone: (314) 252-8704
Fax: (618) 416-1252

The provider's authorized official is Tina Teresa Mond .
The authorized official title is Ceo and has the following contact phone number (314) 252-8704.

The CLIA number assigned to this NPI record is 14D2325300 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2025 and was last updated on 11/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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