Individual provider Active NPI

Tyler Trevino, MD

  • Student in an Organized Health Care Education/Training Program
  • El Paso, TX
National Provider Identifier
1710577762
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4615 Alameda Ave
El Paso, TX 79905-2702
Phone
(915) 247-5999
NPI assigned
Jan 24, 2021
Last updated
Jan 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X Primary
Contractor 171W00000X

Addresses

Primary practice location

4615 Alameda Ave
El Paso, TX 79905-2702

Mailing address

517 N Tornillo St Apt a
Las Cruces, NM 88001-2752
Phone (505) 553-5191

Other names 1

  • Delbert T Trevino Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler.trevino@ttuhsc.edu Direct

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
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: tyler.trevino@ttuhsc.edu

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1710577762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N TORNILLO ST APT A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012752",
            "telephone_number": "505-553-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052702",
            "telephone_number": "915-247-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler.trevino@ttuhsc.edu",
            "affiliation": "N",
            "endpointDescription": "TTUHSC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4615 Alameda Ave",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799052702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DELBERT",
            "last_name": "TREVINO",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.