Individual provider Active NPI

Jasmine Trevino, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013362508
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130216 Issued in TX
Practice address
12015 Louetta Rd
Suite 200
Houston, TX 77070-1148
Phone
(281) 968-4096
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 765480 TX
Family Nurse Practitioner 363LF0000X AP130216 TX Primary

Addresses

Primary practice location

12015 Louetta Rd
Suite 200
Houston, TX 77070-1148

Mailing address

12015 Louetta Rd
Suite 200
Houston, TX 77070-1148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000454 TX Practitioner - Nurse Practitioner 2860783073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Clinic of Central Texas 3 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
BLDG 2 Suite 2203
San Marcos, TX 78666-7791
Phone (512) 667-7123

Hospital & facility affiliations

  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
765480TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Clinic of Central Texas CurrentSince Jul 17, 2017 Accepting new patients
Burhani Surgical LTD PLLC Past Accepting new patients

Locations

1340 Wonder World Dr
Ste 2203
San Marcos, TX 78666
Phone (512) 667-7123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDJDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1013362508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 LOUETTA RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 LOUETTA RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701148",
            "telephone_number": "281-968-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JASMINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "765480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.