Active NPI
Maricela Trevino-Pena
- Speech-Language Assistant
- Mission, TX
National Provider Identifier
1467018671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106 - Phone
- (956) 585-2439
- NPI assigned
- May 13, 2019
- 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 Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106
Mailing address
1904 E Griffin Pkwy Ste B
Mission, TX 78572-3106
Phone (956) 585-2439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34418 | Other | TX | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1467018671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 E GRIFFIN PKWY STE B",
"city": "MISSION",
"state": "TX",
"postal_code": "785723106",
"telephone_number": "956-585-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 E GRIFFIN PKWY STE B",
"city": "MISSION",
"state": "TX",
"postal_code": "785723106",
"telephone_number": "956-585-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO-PENA",
"first_name": "MARICELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LICENSING AND REGULATION",
"identifier": "34418",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.