Javier Espinoza, M.S., A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

891 Issued in OK

Practice address

2800 W Gore Blvd
Lawton, OK 73505-6320

Phone

(580) 581-2465

Fax

(580) 581-5537

NPI assigned

Jun 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1033569017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056320",
            "telephone_number": "580-581-2465",
            "fax_number": "580-581-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056320",
            "telephone_number": "580-581-2465",
            "fax_number": "580-581-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "M.S., A.T.C., L.A.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "891",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Andreas Escobedo
• Tiffany Gail Nicole Escoe, LMFT CANDIDATE
• Happy Eskander, MD
• Suzan Esley
• Carrie Ann Espinoza, SLPA
• Essential Skills
• Angela Dawn Evans
• Etta Evans, NURSE PRACTITIONER
• Janet Evans, RN
• Johnah Briann Evans

• Athletic Trainer in Lawton, OK
• Providers in Lawton, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.