Helen Diane Shore, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3380 Issued in TX

Practice address

201 Sandcrab Blvd
Port Lavaca, TX 77979-2424

Phone

(361) 551-2698

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1043542806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WHISPERING PINE DR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379512",
            "telephone_number": "903-279-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDCRAB BLVD",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792424",
            "telephone_number": "361-551-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "HELEN",
        "middle_name": "DIANE",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Schultz, MD
• Andrew Kent Seamans, DDS
• Ebenezer Semere
• Craig Shaffer, M.D.
• Traci Shefcik, FNP
• Bosky Singh, DDS
• Smile Experts PLLC
• Smile Experts-Port Lavaca PLLC
• Jo Anne Smith, FNP
• Bethany Danielle Spraggins, PTA

• Athletic Trainer in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.