Individual provider Active NPI

Ashley Juanita Lopez, CPNP

  • Pediatrics Physician
  • Schertz, TX
National Provider Identifier
1437668787
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AP135171 Issued in TX
Practice address
17323 Ih 35 N Ste 113
Schertz, TX 78154-1278
Phone
(210) 922-7000
Fax
(210) 646-9606
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AP135171 TX Primary

Addresses

Primary practice location

17323 Ih 35 N Ste 113
Schertz, TX 78154-1278

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

Other names 1

  • Ashley Juanita Trevino Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911002890 TX Practitioner - Nurse Practitioner 6709115074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. Current Accepting new patients
El Centro del Barrio CurrentSince Oct 1, 2019 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Oct 1, 2019 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

315 N San Saba
Ste 1075
San Antonio, TX 78207
Phone (210) 227-0282

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

17323 Interstate 35 N
Ste 113
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: ashley.trevino.p1@direct.centromed.nextgenshare.com

Organizations & group practices 4

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1437668787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-646-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N STE 113",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541278",
            "telephone_number": "210-922-7000",
            "fax_number": "210-646-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ASHLEY",
        "middle_name": "JUANITA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "AP135171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TREVINO",
            "middle_name": "JUANITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.