Individual provider Active NPI

Tais Limon

  • Athletic Trainer
  • Fort Worth, TX
National Provider Identifier
1033839436
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1201 Wesleyan St
Fort Worth, TX 76105-1536
Phone
(682) 718-7204
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

1201 Wesleyan St
Fort Worth, TX 76105-1536

Mailing address

1745 Lawther Dr
River Oaks, TX 76114-2133
Phone (682) 718-7204

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address talimon@txwes.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1033839436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 LAWTHER DR",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761142133",
            "telephone_number": "682-718-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WESLEYAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051536",
            "telephone_number": "682-718-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMON",
        "first_name": "TAIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talimon@txwes.edu",
            "affiliation": "N",
            "address_1": "1745 Lawther Dr",
            "city": "River Oaks",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761142133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.