Lizbeth Angeles Trevino

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019992 Issued in IL

Practice address

6620 Barrington Rd
Hanover Park, IL 60133-3935

Phone

(630) 830-5926

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFECA
• FHIR API: https://fhir4.healow.com/fhir/r4/BGFECA/Endpoint/BGFECA
• Direct secure messaging: lizbeth.trevino.1@15235.direct.athenahealth.com

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.

• Tomagwa Ministries, Inc

  • Federally Qualified Health Center (FQHC)
  • Tomball, TX
  • NPI 1417543422
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1053960765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 606",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051529",
            "telephone_number": "224-535-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 BARRINGTON RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333935",
            "telephone_number": "630-830-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LIZBETH",
        "middle_name": "ANGELES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Jonson Tan, P.T
• Tek Xperts LLC
• Anand M Thakkar, M.D.
• Suzette Thomsen
• James B Thomson, LCPC
• Patsy Tucker
• Anupam Verma
• Village of Hanover Park
• Nina M Vilme, DPT
• Walgreen Co

• Family Nurse Practitioner in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.