Active NPI
Jennifer Trevino, FNP-BC
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1130235
- Practice address
- 5101 Squaw Creek CT
Fort Worth, TX 76137-3531 - Phone
- (702) 445-4623
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1130235 | TX | Primary |
Addresses
Primary practice location
5101 Squaw Creek CT
Fort Worth, TX 76137-3531
Mailing address
5101 Squaw Creek CT
Fort Worth, TX 76137-3531
Phone (702) 445-4623
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 W 7TH Ave
Integrity Urgent Care
Corsicana, TX 75110-4811
Phone (903) 616-0111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients |
Locations
1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
2901 W 7th Ave
Corsicana, TX 75110
Phone (903) 616-0111
607 E Malloy Bridge Rd
Seagoville, TX 75159
Phone (469) 908-5018
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1144903386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 SQUAW CREEK CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761373531",
"telephone_number": "702-445-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SQUAW CREEK CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761373531",
"telephone_number": "702-445-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1130235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Susan Trehus
- J Kathlene Trello-Rishel, M.D.
- Anita Caitlin Rogers Trevillion
- Trevino Firm, LLC (The Trevino Firm, LLC DBA FYZICAL Balance & Therapy Centers)
- Isabel Trevino
- Manuel Alessio Trevino, DC / LMT
- Patricia Andrea Trevino
- Taina Aracelis Trevino, MD
- Tri-S Counseling & Education
- Thomas Dan Tribble, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.