JUANITA TREVINO (NPI# 1093193534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093193534 |
| Entity Type | Individual |
| Full Name | JUANITA TREVINO |
| Practice Address |
3100 Premier Drive Suite #234 Irving TX 75063 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Bch FL 33441-1817 |
| Practice Telephone | 9727561222 |
| Practice Fax Number | 4693740800 |
| Mailing Telephone | (888) 880-9270 |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | RBT-15-8217-2122 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BACB | RBT-15-8217-21224 | 01 |
| Street Address |
3100 PREMIER DRIVE SUITE #234 |
| City | IRVING |
| State | TX |
| Zip Code | 75063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891264 | Paige Elizabeth Parich | Specialist/Technologist | 29319 Imperial Creek Dr, Tomball, TX 77377-3971 | 2020-11-03 |
| 1427618214 | Innotech Imaging | Specialist/Technologist | 1019 Westport Shore Dr, Houston, TX 77094-3333 | 2019-06-14 |
| 1861840886 | Crystal Brunson | Specialist/Technologist | 9615 Fabia Ct, Houston, TX 77044-1571 | 2016-05-31 |
| 1093146029 | Mia Harris | Specialist/Technologist | 2825 Oak Lawn Ave, Dallas, TX 75219-4102 | 2013-12-02 |
| 1013208040 | Marion Ballas | Specialist/Technologist | 146 Harrigan Ct, Apt 1, San Antonio, TX 78209-6386 | 2011-04-25 |
| 1902116304 | Language Learning Center-brazos Valley, Inc | Specialist/Technologist | 511 University Dr E Ste 207, College Station, TX 77840-1748 | 2010-10-19 |
| 1184930182 | Therapy Korner Pediatric Services | Specialist/Technologist | 414 W. Main Ave., Mission, TX 78574 | 2010-08-27 |
| 1982802393 | Vicki Kaye Sims | Specialist/Technologist | 3201 W State Highway 22 Ste 100, Corsicana, TX 75110-2450 | 2007-07-06 |
| 1912120197 | Kristi Hightower Soileau | Specialist/Technologist | 3195 Calder St Ste 201, Beaumont, TX 77702-1426 | 2007-04-10 |
| 1205960820 | Progressive Enites Inc. | Specialist/Technologist | 598 S Pioneer Dr, Abilene, TX 79605-2786 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUANITA TREVINO.
| 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.