Individual provider Active NPI

Breanna Renea Trevino, MS, LAT, ATC

  • Athletic Trainer
  • Corpus Christi, TX
National Provider Identifier
1558008201
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT9443 Issued in TX
Practice address
5225 Gollihar Rd
Corpus Christi, TX 78412-3317
Phone
(000) 000-0000
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT9443 TX Primary

Addresses

Primary practice location

5225 Gollihar Rd
Corpus Christi, TX 78412-3317

Mailing address

610 Lansdown Dr
Corpus Christi, TX 78412-2916
Phone (361) 585-3887

Other practice location 1

1 Coyote Trl
Alice, TX 78332-4061
Phone (361) 585-3887

Other practice location 2

Angelo State University
San Angelo, TX 76909-0001
Phone (361) 585-3887

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 Science

State licenses

LicenseStateTypeSpecialty
AT9443TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1558008201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LANSDOWN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122916",
            "telephone_number": "361-585-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 GOLLIHAR RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123317",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Coyote Trl",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324061",
            "country_code": "US",
            "telephone_number": "361-585-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Angelo State University",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769090001",
            "country_code": "US",
            "telephone_number": "361-585-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "BREANNA",
        "middle_name": "RENEA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.