CATHERINE BROUSSARD TREVINO (NPI# 1043409477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043409477 |
Entity Type | Individual |
Full Name | CATHERINE BROUSSARD TREVINO |
Other Name | CATHERINE ELIZABETH BROUSSARD |
Credential | FNP |
Practice Address |
3420 Veterans Cir Beaumont TX 77707-2552 |
Practice Telephone | 4099818550 |
Practice Fax Number | 4099818593 |
Mailing Telephone | 4099818550 |
Mailing Fax Number | 4099818593 |
Enumeration Date | 2007-10-22 |
Last Update Date | 2020-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
628747 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114331113 | Catherine Trevino | Dentist | 325 Adams Dr, 335, Weatherford, TX 76086-6736 | 2014-06-17 |
Street Address |
3420 VETERANS CIR |
City | BEAUMONT |
State | TX |
Zip Code | 77707-2552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528019593 | Houston Vamc | Clinic/Center | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-05-15 |
1497288179 | Timothy Rhodes | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2017-04-09 |
1588922546 | Nicole Yvette Jaikaran | Psychiatry & Neurology | 3420 Veterans Cir, Beaumont, TX 77707 | 2012-04-27 |
1376848853 | John Gonzalez | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2011-01-14 |
1962739490 | Shelley D Taylor | Dietitian, Registered | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2009-11-04 |
1174787105 | Houston Vamc | Department of Veterans Affairs (VA) Pharmacy | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-07-18 |
1861665572 | Va Outpatiient Clinic | Department of Veterans Affairs (VA) Pharmacy | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-04-03 |
1124297502 | Merrie Ellen Ingalls-webb | Social Worker | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-02-29 |
1013134337 | Victoria Marie Stratton | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2007-04-19 |
1124189550 | Penny L Hashop | Nurse Practitioner | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
Find all providers in zip 77707 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
1093340697 | Amber Tenille Goldsmith | Nurse Practitioner | 4347 Phelan Blvd, Beaumont, TX 77707-2159 | 2020-03-04 |
1851925267 | Trey Perkins | Nurse Practitioner | 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 | 2020-02-25 |
1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
1467095224 | Fines Pafira Pruett | Nurse Practitioner | 35232 Hogan Dr, Beaumont, CA 92223-7407 | 2019-10-24 |
1952944399 | Kevin Ray Jones | Nurse Practitioner | 6040 Carrie Ln, Beaumont, TX 77713-4192 | 2019-10-17 |
1447891320 | Summer Mcclain | Nurse Practitioner | 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 | 2019-10-02 |
1114579059 | Amy Rae Hederman | Nurse Practitioner | 3070 College St Ste 100b, Beaumont, TX 77701-4652 | 2019-07-11 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1548824253 | Lisa Marie Leger | Nurse Practitioner | 3129 College St Ste 200, Beaumont, TX 77701-4682 | 2019-04-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.