Active NPI
Phillip Jones
- Athletic Trainer
- Buda, TX
National Provider Identifier
1023633849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 060102096
- Practice address
- 4260 RR 967
Buda, TX 78610 - Phone
- (512) 268-2141
- NPI assigned
- Jun 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 060102096 | TX | Primary |
| Athletic Trainer | 2255A2300X | 2927 | TX |
Addresses
Primary practice location
4260 RR 967
Buda, TX 78610
Mailing address
303 Ranger Dr
Buda, TX 78610-2539
Phone (512) 923-9527
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 |
|---|---|---|---|
| 2927 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 060102096 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1023633849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 RANGER DR",
"city": "BUDA",
"state": "TX",
"postal_code": "786102539",
"telephone_number": "512-923-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 RR 967",
"city": "BUDA",
"state": "TX",
"postal_code": "78610",
"telephone_number": "512-268-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "060102096",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "2927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.