Angelica Trevino, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102359 Issued in TX

Practice address

5337 S Padre Isld Hwy Ste B
Brownsville, TX 78521-4409

Phone

(956) 831-7600

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1720239718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MORELOS AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759514",
            "telephone_number": "956-455-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 S PADRE ISLD HWY STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214409",
            "telephone_number": "956-831-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ANGELICA",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "8T7819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yogesh Trakru, M.D.
• Ann Sharee Traskauskas, LPC
• Lizbeth Trejo
• Annelle Trevino Gonzales
• Adrian Eliseo Mar Trevino
• Lynda Adela Trevino
• Manuel Trevino, PT
• Mario Trevino, RP.H. AND PHARM.D
• Modesta Trevino, SLP
• Ruben Trevino

• Speech-Language Pathologist in Brownsville, TX
• Providers in Brownsville, 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 Oct 8, 2008; 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.