Maria Teresa Ouano Trevino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00047590 Issued in WA

Practice address

39 Short Cut Rd
Inchelium, WA 99138-0290

Phone

(509) 722-7006

Fax

(509) 722-7021

NPI assigned

Aug 22, 2006

Last updated

Mar 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colville Nation Community Health CentersGroup PAC ID 8820363716, 12 clinicians

Confederated Tribes of the Colville ReservationGroup PAC ID 1254332505, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Colville Nation Community Health Centers

  dba Lake Roosevelt Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inchelium, WA
  • NPI 1043335961

  TX

  Medicare reassignment Care Compare group NPD
• Sea Mar Community Health Centers

  dba Sea Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170

  Family Medicine

  Medicare reassignment NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Lacey, WA
  • NPI 1700101797

  Family Medicine

  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Washington

  dba Providence Mount Carmel Hospital

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Care Compare affiliation

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1528174372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHORT CUT RD",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "991380290",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MARIA",
        "middle_name": "TERESA OUANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6111",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50827",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000718",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Christine Starkey, NAC, X-RAY TECH
• Crystal Gale Stensgar, RN
• Rebecca Stillwell, AP 60897709
• Brandi Swan, MA-R
• Tyrell Allen Tonasket, L.M.P.
• Rodolfo Nieto Trevino, MD
• Melonie S. Trudell, RD, CDE

• Family Medicine Physician in Inchelium, WA
• Providers in Inchelium, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.

Verify at the official NPI Registry.