Individual provider Active NPI

Anna Cecilia Trevino

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1104638386
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121844 Issued in TX
Practice address
9514 Console Dr Ste 102
San Antonio, TX 78229-2042
Phone
(210) 448-9111
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 121844 TX Primary

Addresses

Primary practice location

9514 Console Dr Ste 102
San Antonio, TX 78229-2042

Mailing address

9514 Console Dr Ste 102
San Antonio, TX 78229-2042
Phone (210) 448-9111

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
121844TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teamability, Inc. PastSince Jan 26, 2025 Accepting new patients
A Plus Pediatric Rehab, Inc. Speech-Language Pathologist PastSince Jan 26, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1104638386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DR STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292042",
            "telephone_number": "210-448-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DR STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292042",
            "telephone_number": "210-448-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ANNA",
        "middle_name": "CECILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.