Active NPI
Taylor Katelyn Anguiano, ATC
- Athletic Trainer
- Boise, ID
National Provider Identifier
1013326073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 45227
- Practice address
- 185 E Mallard Dr
#140
Boise, ID 83706-6666 - Phone
- (714) 904-2447
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 45227 | CA | Primary |
Addresses
Primary practice location
185 E Mallard Dr
#140
Boise, ID 83706-6666
Mailing address
185 E Mallard Dr
#140
Boise, ID 83706-6666
Phone (714) 904-2447
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 |
|---|---|---|---|
| 45227 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1013326073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 E MALLARD DR",
"address_2": "#140",
"city": "BOISE",
"state": "ID",
"postal_code": "837066666",
"telephone_number": "714-904-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 E MALLARD DR",
"address_2": "#140",
"city": "BOISE",
"state": "ID",
"postal_code": "837066666",
"telephone_number": "714-904-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUIANO",
"first_name": "TAYLOR",
"middle_name": "KATELYN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "45227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.