Active NPI
Breanna Renea Trevino, MS, LAT, ATC
- Athletic Trainer
- Corpus Christi, TX
National Provider Identifier
1558008201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9443
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT9443 | TX | MD | Athletic 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.