Veronica Trejo Mata, LVN

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

License

9999999 Issued in UT

Practice address

305 N Collier St
Grand Saline, TX 75140-1403

Phone

(903) 368-4211

NPI assigned

Apr 21, 2020

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

Other names 1

• Prof. Veronica Trejo Blake Other name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1366062242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N COLLIER ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401403",
            "telephone_number": "903-368-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N COLLIER ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401403",
            "telephone_number": "903-368-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "VERONICA",
        "middle_name": "TREJO",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "UT",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connecturl",
            "affiliation": "N",
            "endpointDescription": "connecturi",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "305 N Collier St",
            "city": "Grand Saline",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751401403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clinic",
            "affiliation": "N",
            "endpointDescription": "patient",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 N Collier St",
            "city": "Grand Saline",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751401403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "clinic",
            "affiliation": "N",
            "endpointDescription": "nursepedi",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fever",
            "address_1": "305 N Collier St",
            "city": "Grand Saline",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751401403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "BLAKE",
            "middle_name": "TREJO",
            "prefix": "PROF.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.