Trebla K Fairbanks, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

141490 Issued in TX

Practice address

22506 Rainfern Dr
Magnolia, TX 77355-6262

Phone

(281) 701-2312

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1942788260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22506 RAINFERN DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773556262",
            "telephone_number": "281-701-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22506 RAINFERN DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773556262",
            "telephone_number": "281-701-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "TREBLA",
        "middle_name": "K",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "141490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Esteen
• Rosalinda Dianna Estrada, LPC
• Serena Eubank
• Evergreen Family Chiropractic PLLC
• Johnathan Richard Fahrner
• Kendra Faul, M.S., CCC-SLP
• Mark Abraham Feanny, M.D.
• Corrina Ferrara, MS, LPC
• Brandie Fierro
• Courtney Paige Fincher, APN

• Licensed Vocational Nurse in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.