{"npi":"1013156629","type":"NPI-2","status":"active","name":{"display":"Trinity Medical Clinic, LLC","other":[],"organization_name":"TRINITY MEDICAL CLINIC, LLC","authorised_official":"Rhonda Hunt"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"TN","license":"APN0000007669"}]},"addresses":[{"purpose":"LOCATION","street_1":"832 MULBERRY AVE","city":"SELMER","state":"TN","postal_code":"383752334","country_code":"US","phone":"7314340200","fax":"7314340203"},{"purpose":"MAILING","street_1":"832 MULBERRY AVE","city":"SELMER","state":"TN","postal_code":"383752334","country_code":"US","phone":"7314240200","fax":"7314340203"}],"license":{"state":"TN","number":"APN0000007669"},"identifiers":[{"type_code":"01","label":"Other","value":"3341736","state":"TN","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090326000481","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"5395802912"},{"enrlmt_id":"O20131108001888","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"TN","pac_id":"5395802912"}]},"enumeration_date":"2009-02-05","last_updated":"2024-06-19","_meta":{"source":"NPPES","snapshot_date":"2024-06-19","doc_url":"https://findmynpi.com/api"}}