Active NPI
Judy Lynn Trevino, R.N.
- Registered Nurse
- Pleasanton, TX
National Provider Identifier
1962684720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 555907
- Practice address
- 109 N Smith St
Pleasanton, TX 78064-4109 - Phone
- (830) 281-8367
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 555907 | TX | Primary |
Addresses
Primary practice location
109 N Smith St
Pleasanton, TX 78064-4109
Mailing address
PO Box 285
815 Verdi Rd.
Leming, TX 78050-0285
Phone (830) 281-5951
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 555907 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BB Pediatrics, P.C. | Past | Accepting new patients | |
| Leigh Ann Ware, RN, CPNP, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Nurse Practitioner
- Pleasanton, TX
- NPI 1477038578
-
- Pediatric Nurse Practitioner
- Pleasanton, TX
- NPI 1063725810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1962684720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 285",
"address_2": "815 VERDI RD.",
"city": "LEMING",
"state": "TX",
"postal_code": "780500285",
"telephone_number": "830-281-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N SMITH ST",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644109",
"telephone_number": "830-281-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "JUDY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "555907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.