Active NPI
Lisa Trevino, M.A.,CCC-SLP
- Speech-Language Pathologist
- Smithville, TX
National Provider Identifier
1205549458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19890
- Practice address
- 901 NE 6TH St
Smithville, TX 78957-1669 - Phone
- (512) 237-2487
- NPI assigned
- Jan 3, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19890 | TX | Primary |
Addresses
Primary practice location
901 NE 6TH St
Smithville, TX 78957-1669
Mailing address
14546 Brook Hollow Blvd # 337
San Antonio, TX 78232-3810
Phone (210) 202-6333
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19890 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1205549458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14546 BROOK HOLLOW BLVD # 337",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323810",
"telephone_number": "210-202-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 NE 6TH ST",
"city": "SMITHVILLE",
"state": "TX",
"postal_code": "789571669",
"telephone_number": "512-237-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "LISA",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.