Active NPI
James Craig Carlson, ATC, LAT
- Athletic Trainer
- Odessa, TX
National Provider Identifier
1003837584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0791
- Practice address
- 2525 N Grandview Ave Ste 400
Odessa, TX 79761-1600 - Phone
- (432) 550-4700
- Fax
- (432) 550-4715
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0791 | TX | Primary |
Addresses
Primary practice location
2525 N Grandview Ave Ste 400
Odessa, TX 79761-1600
Mailing address
7045 Tobosa Ave
Odessa, TX 79765-3102
Phone (432) 366-7311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0791 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003837584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7045 TOBOSA AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797653102",
"telephone_number": "432-366-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 N GRANDVIEW AVE STE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797611600",
"telephone_number": "432-550-4700",
"fax_number": "432-550-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JAMES",
"middle_name": "CRAIG",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT0791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.