Individual provider Active NPI

Araceli Trevino

  • Metabolic Nutrition Registered Dietitian
  • El Paso, TX
National Provider Identifier
1851977250
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DT86961 Issued in TX
Practice address
3641 Mattox St
El Paso, TX 79925-1307
Phone
(915) 532-6280
Fax
(915) 532-6280
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DT86961 TX Primary

Addresses

Primary practice location

3641 Mattox St
El Paso, TX 79925-1307

Mailing address

3641 Mattox St
El Paso, TX 79925-1307
Phone (915) 532-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510001923 TX Practitioner - Registered Dietitian Or Nutrition Professional 8022427715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8700 Montana Ave
El Paso, TX 79925-1221
Phone (915) 532-6280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Diabetes Association, Inc. Nutrition, Metabolic CurrentSince May 6, 2021 Accepting new patients

Locations

8700 Montana Ave
El Paso, TX 79925
Phone (915) 532-6280

3641 Mattox St
El Paso, TX 79925
Phone (915) 532-6280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDHDD/Endpoint/GIDHDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1851977250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 MATTOX ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251307",
            "telephone_number": "915-532-6280",
            "fax_number": "915-532-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 MATTOX ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251307",
            "telephone_number": "915-532-6280",
            "fax_number": "915-532-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ARACELI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TX",
            "license": "DT86961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.