Joy Trevino, RN, ANP-C, AGNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Navasota, TX
NPI 1710225636 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1710225636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- AP123170 (TX)
- Practice address
- 501 E Washington Ave
Navasota, TX 77868-3001 - Phone
- (936) 825-6444
- Fax
- (936) 825-2199
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130917000728 | TX | Practitioner - Nurse Practitioner | 2062656853 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott and White Clinic | Current |
Accepting new patients | |
| Scott & White Clinic | Current |
Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| St Joseph Regional Health Center | Current |
Accepting new patients | |
| St. Joseph Regional Health Center | Current |
Accepting new patients | |
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients |
Locations
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
501 E Washington Ave
Navasota, TX 77868
Phone (936) 825-6444
Interoperability endpoints
- joy.trevino@sjrhc.eclinicaldirectplus.com
- jtrevino315857@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 661005 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP123170 | TX | Yes |
Addresses
Primary practice location
501 E Washington Ave
Navasota, TX 77868-3001
Mailing address
2333 Manor Dr
Bryan, TX 77802-1907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325201702 | Medicaid | TX |
Other providers in Navasota, TX
- Sulik Sheridan Navasota Inc.
- Ten Broeck Tennessee Physicians
- Texas a&M University System Health Science Center
- Chasareth Edwonne Thompson
- Total Care Ultrasound , LLC
- Denise Kay Buchanan Turner
- Wal-Mart Stores Texas LLC
- John Ingram Walker
- Sabrina Yvette Washington
- Moriah White
All providers in Navasota, TX · Gerontology Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.