Jeffrey Wayne Mann, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2114 Issued in TX

Practice address

1801 Harvey Mitchell Pkwy S
College Station, TX 77840-5100

Phone

(979) 764-5536

Fax

(979) 764-5505

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023138559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 LODGEPOLE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455732",
            "telephone_number": "979-204-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HARVEY MITCHELL PKWY S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778405100",
            "telephone_number": "979-764-5536",
            "fax_number": "979-764-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malixi Home Health Services LLC
• Hannah Rose Malone, NP
• Jacques Mamigonian, M.D.
• Karen Diane Maness, M.D.
• Alison Mann, LPC, LPCC
• Jamie Marie Manning, LPC-I
• Leonor E Manzano, MT109652
• Linh Huynh Maracchini
• Todd Anthony Maraist, MD
• Lisa Marberry, RN

• Athletic Trainer in College Station, TX
• Providers in College Station, TX by specialty
• Athletic Trainer in Texas

• 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.

Verify at the official NPI Registry.