Malena Eaves, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT8520 Issued in TX

Practice address

3533 Matlock Rd
Arlington, TX 76015-3604

Phone

(817) 419-0303

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

No

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1053138925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 GLENN DAY DR APT 2210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024348",
            "telephone_number": "817-965-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153604",
            "telephone_number": "817-419-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "MALENA",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eartha J Camon (RUD Counseling & Psychotherapy)
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• Patricia Kyndall Easterling
• Joe Aaron Eastham, L.M.F.T, L.P.C.
• Eastland Memorial Hospital District (Matlock Place Health and Rehabilitation Center)
• Lori Nicole Ebenkamp, APRN, CPNP-PC
• Yvonne Mokou Ebot
• Rael Okoth Eckenroed, FNP-C
• Jan J Eckhart, NP
• Eddie Ette

• Athletic Trainer in Arlington, TX
• Providers in Arlington, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.