1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TRISTAN WEBB HAZEBROOK
NPI 1073373619
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 20, 2024PECOS Enrolled
MEDICAL CENTER BLVD DEPT OF PSYCHIATRY, WINSTON SALEM, NC 27157(336) 716-4551 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tristan Webb Hazebrook NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTAN WEBB HAZEBROOK (NPI 1073373619) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073373619
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRISTAN WEBB HAZEBROOK
Location AddressMEDICAL CENTER BLVD DEPT OF PSYCHIATRYWinston Salem, NC 27157-0001
Mailing AddressMedical Center Blvd Dept Of PsychiatryWinston Salem, NC 27157-1087 · (336) 716-4551
Phone(336) 716-4551
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1073373619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MEDICAL CENTER BLVD DEPT OF PSYCHIATRY, Winston Salem, NC 27157
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristan Webb Hazebrook is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristan Hazebrook's NPI number?

The NPI number for Tristan Hazebrook is 1073373619. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Tristan Hazebrook located?

Tristan Hazebrook practices at Medical Center Blvd Dept Of Psychiatry, Winston Salem, NC 27157. The listed phone number is (336) 716-4551.

What is Tristan Hazebrook's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tristan Hazebrook enrolled in Medicare?

Yes. Tristan Hazebrook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Hazebrook was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.