Individual provider Active NPI

Marlisa Trevino, FNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1992113930
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP126028 Issued in TX
Practice address
1201 Fannin St Ste 262
Houston, TX 77002-6943
Phone
(866) 849-0692
NPI assigned
Jul 22, 2014
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025031078 MO
Nurse Practitioner 363L00000X APRN11019149 FL
Nurse Practitioner 363L00000X TELE281883 AZ
Nurse Practitioner 363L00000X 33470 TN
Nurse Practitioner 363L00000X 3-001179 AL
Nurse Practitioner 363L00000X AP126028 TX Primary
Nurse Practitioner 363L00000X 209028812 IL
Nurse Practitioner 363L00000X APRN.CNP.0033719 OH
Nurse Practitioner 363L00000X 30666 SC

Addresses

Primary practice location

1201 Fannin St Ste 262
Houston, TX 77002-6943

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, AL, TN, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20141007000203 TX Practitioner - Nurse Practitioner 1153541503 Reassigns benefits to 1 organization
I20221008000071 FL Practitioner - Nurse Practitioner 1153541503 Reassigns benefits to 1 organization
I20230816003254 AL Practitioner - Nurse Practitioner 1153541503 Reassigns benefits to 1 organization
I20240423000692 TN Practitioner - Nurse Practitioner 1153541503 Reassigns benefits to 1 organization
I20240605000853 IL Practitioner - Nurse Practitioner 1153541503 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-001179ALMDNurse Practitioner
TELE281883AZMDNurse Practitioner
2025031078MOMDNurse Practitioner
30666SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical PC CurrentSince May 22, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

200 S Wacker Dr
Fl 31
Chicago, IL 60606
Phone (312) 674-4746

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1992113930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FANNIN ST STE 262",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026943",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MARLISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025031078",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019149",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "TELE281883",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33470",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-001179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126028",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209028812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033719",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.