Individual provider Active NPI

Kyara Trevino, FNP-BC

  • Family Nurse Practitioner
  • Rio Grande City, TX
National Provider Identifier
1912449448
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132499 Issued in TX
Practice address
2542 Central Palm Dr Ste 207
Rio Grande City, TX 78582-6766
Phone
(956) 352-1344
Fax
(956) 352-1343
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132499 TX Primary

Addresses

Primary practice location

2542 Central Palm Dr Ste 207
Rio Grande City, TX 78582-6766

Mailing address

2542 Central Palm Dr Ste 207
Rio Grande City, TX 78582-6766
Phone (956) 352-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000673 TX Practitioner - Nurse Practitioner 8628353653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gauri Kanhere PLLCGroup PAC ID 2062833106, 8 clinicians

Practice addresses (Care Compare)

131 N FM
Rio Grande City, TX 78582-7009
Phone (956) 352-1344

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gauri Kanhere PLLC CurrentSince Jan 2, 2024 Accepting new patients
Gauri Kanhere PLLC CurrentSince Jan 2, 2024 Accepting new patients
Josegauri PA CurrentSince Dec 7, 2016 Accepting new patients

Locations

2790 Pharmacy Rd
Ste B
Rio Grande Cy, TX 78582
Phone (956) 487-7561

131 N FM 3167
Ste C
Rio Grande Cy, TX 78582
Phone (956) 352-1344

2542 Central Palm Dr
Ste 207
Rio Grande Cy, TX 78582
Phone (956) 263-1062

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1912449448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 CENTRAL PALM DR STE 207",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826766",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 CENTRAL PALM DR STE 207",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826766",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "KYARA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.