Active NPI
Diana M Padilla, MS, ATC, EMT
- Athletic Trainer
- Tempe, AZ
National Provider Identifier
1043272602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 373
- Practice address
- 500 Veterans Way
Tempe, AZ 85287-0001 - Phone
- (480) 965-9430
- Fax
- (480) 965-8224
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 373 | NM | Primary |
Addresses
Primary practice location
500 Veterans Way
Tempe, AZ 85287-0001
Mailing address
500 Veterans Way
Tempe, AZ 85287-0001
Phone (480) 965-9430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0833 | Other | AZ | AZ STATE BOARD OF ATHLETIC TRAINING |
| 020402087 | Other | NATIONAL ATHLETIC TRAINERS' BOARD OF CERTIFICATION | |
| AT-AT-10112912 | Other | OR | OREGON HEALTH LICENSING |
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
- Credentials
- Emergency Medical Technician, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 373 | NM | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1043272602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VETERANS WAY",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852870001",
"telephone_number": "480-965-9430",
"fax_number": "480-965-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VETERANS WAY",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852870001",
"telephone_number": "480-965-9430",
"fax_number": "480-965-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "DIANA",
"middle_name": "M",
"credential": "MS, ATC, EMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE BOARD OF ATHLETIC TRAINING",
"identifier": "0833",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS' BOARD OF CERTIFICATION",
"identifier": "020402087",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH LICENSING",
"identifier": "AT-AT-10112912",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.