Individual provider Active NPI

Juanita Trevino

  • Speech/Language/Hearing Specialist/Technologist
  • Irving, TX
National Provider Identifier
1093193534
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
RBT-15-8217-21224 Issued in TX
Practice address
3100 Premier Drive
Suite #234
Irving, TX 75063
Phone
(972) 756-1222
Fax
(469) 374-0800
NPI assigned
May 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X RBT-15-8217-21224 TX Primary

Addresses

Primary practice location

3100 Premier Drive
Suite #234
Irving, TX 75063

Mailing address

500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone (888) 880-9270

Other identifiers 1

IdentifierTypeStateIssuer
RBT-15-8217-21224OtherTXBACB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-15-8217-21224TXMDSpeech/Language/Hearing Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Behavioral Therapy Bii, LLC PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093193534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR STE 102",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "334411817",
            "telephone_number": "888-880-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PREMIER DRIVE",
            "address_2": "SUITE #234",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-756-1222",
            "fax_number": "469-374-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "TX",
            "license": "RBT-15-8217-21224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-15-8217-21224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.