Cristina Trevino Carrasco, MS., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104133 Issued in TX

Practice address

2101 E Griffin Pkwy
Mission, TX 78572-3228

Phone

(956) 424-3733

Fax

(956) 424-3734

NPI assigned

May 1, 2009

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Acovill Management Co., L.L.C.

  dba Kids In Action Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mission, TX
  • NPI 1871584672
  NPD (past)

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1669616843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SAN RAFAEL",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785720523",
            "telephone_number": "956-451-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723228",
            "telephone_number": "956-424-3733",
            "fax_number": "956-424-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "CRISTINA",
        "middle_name": "TREVINO",
        "name_prefix": "Mrs.",
        "credential": "MS., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia S. Cardenas
• Care-Med Home Health LLC
• Cariza LLC (Healing Hands Wound Care Center)
• Carlos a Regalado, M.D., P.a.
• Carlos a. Ramirez MD PA (Epical Healthmed)
• Jose R Carreras V, MD
• Eduardo Carrillo, MD
• Rebecca Ann Carter, MD
• Casa Azul Adult Day Care LLC
• Jaclyne Castellanos

• Speech-Language Pathologist in Mission, TX
• Providers in Mission, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.